Associate Manager - Registered Nurse, Care Management

CVS HealthRathdrum, ID
20h$88,374 - $190,344Hybrid

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Associate Manager, RN Care Management Location: Hybrid Hybrid Locations Details to be Managed on a Case by Case Basis Role Description: We are looking for a results oriented Associate Manager of RN Care Management with strong leadership, interpersonal, and communication skills. The Associate Manager of Care Management is part of Oak Street Health’s Care Management leadership team and is responsible for overseeing Nurse Care Managers (RN-CMs) across multiple states. The RN Care Management program focuses on coordinating care, transitions of care, preventing avoidable admissions, building effective relationships to optimize patients’ health outcomes, and ensuring effective team-based care. The Associate Manager, RN Care Management is responsible for the direct supervision and day-to-day management of RN-CMs. This role oversees daily operations, performance management, and workflow execution to ensure high-quality, patient-centered care and achievement of program goals.

Requirements

  • Bachelor’s in Nursing strongly preferred.
  • Active RN license within one or more OSH states.
  • Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire.
  • Willingness to obtain cross-state licensure, as needed.
  • 2+ years direct supervisory experience required.
  • 4+ years in care management, case management, and/or transitional care, strongly preferred.
  • Proficient with Microsoft Office, Google Suite, and healthcare EMRs.
  • Knowledge of Medicare/Medicaid and NCQA requirements.
  • Strong clinical and assessment skills.
  • Outstanding verbal and written communication skills.
  • Ability to work independently and maintain flexibility in a fast-paced, start-up environment.
  • Self-starter with a high level of accountability and responsibility for the outcome of care.
  • Highly organized and able to manage multiple priorities appropriately.
  • Independent problem-solving skills.
  • Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team.
  • A flexible, positive attitude.
  • Valid driver's license and ability to travel frequently.
  • US work authorization.
  • Someone who embodies being “Oaky”

Responsibilities

  • Supervise RN-CMs in assigned markets, including clinical oversight of the following daily operations and metrics:
  • Performance management: Provide guidance and oversight to the RN-CM team, including evaluating team performance in the areas of: clinical assessments, patient needs assessment, development of and progress within care plans, patient engagement and outreach, and appointment support.
  • Collaboration and communication with internal stakeholders: effectively communicate across leaders and multi-disciplinary teams (e.g. regional leaders, care team, social work, behavioral health, transitions of care, etc.) to collaborate and align regarding program processes, outcomes, and improvements.
  • Tracking, reporting and training: Monitor and evaluate care management activities for impact and quality through chart audits, call listening, and reports. In coordination with Care Management leaders, facilitate trainings and ongoing education to continuously improve program design and outcomes.
  • Hire and train RN Care Managers in assigned regions.
  • Assist with the implementation of new care management activities and programming.
  • Provide feedback to Care Management leaders regarding team performance and process improvements to streamline operations, patient or employee experience, and operational outcomes.
  • Provide support for process and quality improvement to RN-CMs through constructive feedback, coaching, and formal evaluations.
  • Create an engaging culture that inspires commitment and encourages excellence and strives for equity and inclusion.
  • Monitor OSH program related data including patient medical cost, admissions, appointment completion and health outcomes to help guide and direct Care Management program initiatives and goals.
  • Remain knowledgeable of industry standards and state regulations, and monitor and review best practices as necessary.
  • Other duties as assigned.

Benefits

  • Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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