Case Manager Registered Nurse – Louisiana Field
About The Position
Coordinates case management activities with members to evaluate medical needs and support their overall wellness. Develops strategies to address issues, improve outcomes, and enhance members’ wellness through integration. Instructs members on programs and procedures in compliance with network management and clinical coverage policies. The role is based in Louisiana, and the employee must reside in one of the specified Region 4 parishes: Evangeline, St. Landry, Acadia, Lafayette, St. Martin, Iberia, or Vermilion. The position involves field travel within 125 miles round trip for one day and a variable schedule that includes working until 9 p.m. local time two days per week.
Requirements
- Must reside in Louisiana in one of the following Region 4 parishes: Evangeline, St. Landry, Acadia, Lafayette, St. Martin, Iberia, or Vermilion.
- Current, active RN clinical licensure.
- Case management experience.
- Strong customer service orientation and problem-solving skills.
- Excellent communication and telephonic skills.
- Excellent motivational interviewing skills and ability to build rapport and trust telephonically.
- Excellent documentation skills and ability to respect compliance and regulatory standards.
- Highly organized and self-driven without direct supervision.
- Ability to manage time effectively and achieve performance metrics.
- Technology proficiency.
- Ability to travel within 125 miles round trip for one day in the field.
- Ability to work a variable schedule, including until 9 p.m. local time two days per week.
Nice To Haves
- Bachelor’s and/or master’s degree.
- CCM certification.
- Previous experience in a managed care organization.
Responsibilities
- Coordinate case management activities with members to evaluate medical needs and facilitate overall wellness.
- Develop strategies to address issues, improve outcomes, and enhance members’ overall wellness through integration.
- Instruct members on programs and procedures in compliance with network management and clinical coverage policies.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- Eligibility for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
