Bilingual Case Manager Registered Nurse – Field – Must reside in Hillsborough or Polk County Florida

CVS Health•Field-Florida, FL

2d•$60,522 - $129,615•Remote

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. This is a fulltime remote role with 50-75% travel required for face-to-face visits with members in Polk, Hillsborough, Highlands, Hardee, Manatee Counties. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Clinical Case Management to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Clinical Case Management is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Clinical Case Management will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Clinical Case Management will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Requirements

Bi-lingual in English and Spanish
Active and unrestricted RN license in FL
Must reside in Hillsborough or Polk County Florida
Willing and able to travel 50-75% of their time to meet members face to face in Polk, Hillsborough, Highlands, Hardee, Manatee Counties
1+ years clinical experience
1+ year computer proficiency in Microsoft Word, Excel, and Outlook

Nice To Haves

Experience in behavioral health or a long-term care setting
Case management and discharge planning experience
Managed Care experience
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Effective communication skills, both verbal and written

Responsibilities

Assess, plan, implement, and coordinate all case management activities with members to evaluate medical needs and facilitate overall wellness.
Effectively manage a caseload of supportive and medically complex members.
Develop a proactive course of action to address issues and enhance short and long-term outcomes.
Identify opportunities to enhance a member's overall wellness through integration.
Determine appropriate services and supports based on member's health needs, including Prior Authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources.