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Case Manager RN - Remote Eligible
Actively engage with patients to guide their care and improve health outcomes.
Remote
Senior
$60,522 - 129,615 USD / year
1 month ago
CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.
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✨ About The Role
- This role involves telephonic case management, working closely with patients and their care teams.
- The position requires the application of clinical judgment to assess patient needs and ensure appropriate benefit administration.
- The case manager will utilize motivational interviewing techniques to engage members and assess their health status.
- The job includes performing medical necessity reviews and collaborating with multidisciplinary teams to overcome care barriers.
- The role is fully remote, with a standard shift from 8:30 AM to 5 PM in the employee's local time zone.
âš¡ Requirements
- The ideal candidate will have over 5 years of experience as a Registered Nurse, with a strong background in hospital settings.
- A successful applicant will possess an active, unrestricted nursing license and be willing to obtain multi-state privileges.
- Experience in Oncology, Transplant, or Pediatrics is essential, with at least one year of direct experience in these areas.
- The candidate should have a proven ability to document electronically and engage with patients effectively.
- Bilingual skills, particularly in Spanish, are preferred to enhance communication with diverse patient populations.
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.