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Case Manager RN - San Antonio, TX - Remote Eligible

Develop proactive care plans to enhance members' overall wellness and health outcomes.
Remote
Mid-Level
3 weeks ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ About The Role

- The Case Manager RN will be responsible for assessing, planning, implementing, and coordinating case management activities for members. - This role involves telephonic and face-to-face interactions to evaluate the medical needs of members. - The Case Manager RN will utilize clinical tools and data to conduct evaluations of member needs and benefit plan eligibility. - The position requires applying clinical judgment to address complex health and social indicators impacting care planning. - The role includes consulting with supervisors and presenting cases at conferences for a multidisciplinary approach to claim management.

âš¡ Requirements

- The ideal candidate will have an active and unrestricted RN multi-state licensure in Texas. - A minimum of 3 years of clinical practice experience as a registered nurse is required. - Candidates should possess at least 1 year of experience using multiple computer systems and applications, including Microsoft Word, Excel, and Outlook. - Strong communication and interpersonal skills are essential for engaging with members and assessing their health needs. - The successful candidate will be proactive in developing courses of action to enhance member wellness and outcomes.
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Case Manager RN - San Antonio, TX - Remote Eligible
Remote
Registered Nurse
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.