Case Manager, Registered Nurse - Remote

CVS Health•Work At Home-Ohio, OH

1d•$60,522 - $129,615•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

5+ years of relevant work experience
Active and unrestricted Registered Nurse Licensure in state of residence.
Working knowledge of problem solving and decision making skills.
Working knowledge of medical terminology.
Working knowledge of digital literacy skills.
Ability to deal tactfully with customers and community.
Ability to handle sensitive information ethically and responsibly.
Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Nice To Haves

Bachelor’s Degree

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.