Case Manager, Registered Nurse - Remote
CVS Health•Work At Home-Illinois, MI
•$60,522 - $142,576•Remote
About The Position
Administers processes to coordinate and facilitate comprehensive care for individuals by assessing their needs, developing personalized care plans, and coordinating services across healthcare providers. Serves as advocate for patients, ensuring effective communication, resource utilization, and continuous monitoring of their progress to promote positive outcomes and enhance overall well-being.
Requirements
- Must have an active and unrestricted IL RN licensure
- 3-5+ years of clinical work experience
- Registered Nurse (RN) certification required
- 1-3+ years of Case Management experience
- Associates Degree required
Nice To Haves
- Telephonic Nursing experience
- Home Health experience
- Certified Case Manager is preferred
- Bachelor’s degree preferred
Responsibilities
- Administers the care coordination plan to assess patient needs and ensure seamless transitions between different care settings.
- Analyzes complex patient data from medical history, diagnostic test results, and treatment plans, to understand the current health status of the patient.
- Applies in-depth knowledge of case management and nursing practices to organize patient files in an orderly manner for easy retrieval.
- Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans.
- Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care.
- Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific conditions.
- Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators.
- Designs complex processes to coordinate discharge planning in a safe and timely transition from the hospital to home.
- Develops resource management to help case managers optimize healthcare with community resources.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
