Case Manager Registered Nurse- Field - Must live in Louisiana

CVS Health•Slidell, LA

2d•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. Position Summary Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies. Must live in the following parishes in Louisiana Region 1 (Orleans): New Orleans and surrounding parishes - Jefferson, Plaquemines, St. Bernard. Region 2 (Baton Rouge): East/West Baton Rouge and surrounding parishes - Ascension, Iberville, Region 3 (Covington/Houma-Thibodaux): Southeast coastal parishes - Lafourche, Terrebonne, St. Charles, St. James, St. John Region 4 (Thibodaux/Lafayette): Acadiana area - Lafayette, St. Landry, Acadia, St. Martin, Iberia, Vermilion, Evangeline, St. Mary Region 5 (Lafayette/Lake Charles): Southwest parishes - Calcasieu, Beauregard, Allen, Cameron, Jefferson Davis Region 9 (Monroe/Northshore): Florida Parishes - Livingston, St. Helena, St.Tammany, Tangipahoa, Washington Region 10 Jefferson

Requirements

Current/Active Clinical Licensure (RN, SW, LCSW, LPC, LMFT)
Case Management experience
Strong customer service orientation and problem solving
Excellent Communication/Telephonic skills
Excellent motivational interviewing skills/ability to built rapport and trust telephonically
Excellence in documenation and respecting compliance/regulatory standards
Highly organized, remain self-driven without direct supervision
Manage time effectively
Achieve performance metrics
Technology proficiency
Ability to travel within 125 miles round trip for 1 day in the field
Variable work scheduled with ability to work 2 days weekly until 9pm local time

Nice To Haves

Bachelors and/or Master's Degree
CCM Certification
Previous experience in Managed Care Organization

Responsibilities

Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members.
Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration.
Instructs programs and procedures in compliance with network management and clinical coverage policies.