Case Manager RN - Field (Kansas City, KS; University of Kansas Hospital)

CVS Health • Overland Park, KS

361d • $54,095 - $116,760

About The Position

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 75%+ travel in Kansas City, KS.

Requirements

• Active and unrestricted KS RN license.
• Minimum 3+ years clinical practical experience with Medicare members.
• Minimum 2+ years CM, discharge planning and/or home health care coordination experience.
• Ability to travel 75+ within Kansas City, KS.

Nice To Haves

• Excellent analytical and problem-solving skills.
• Effective communications, organizational, and interpersonal skills.
• Ability to work independently.
• Proficiency with standard corporate software applications.
• Efficient and effective computer skills.
• Willing and able to obtain multi state RN licenses if needed.
• Bachelor's degree preferred.
• Certified Case Manager is preferred.
• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred.

Responsibilities

• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.
• Interacts with members/clients telephonically or in person, including home visits.
• Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status.
• Develops a plan of care to facilitate the member/client's appropriate condition management.
• Communicates with member/client and other stakeholders as appropriate.
• Prepares all required documentation of case work activities.
• Interacts and consults with internal multidisciplinary team as indicated.
• May make outreach to treating physician or specialists concerning course of care and treatment.
• Provides educational and prevention information for best medical outcomes.
• Applies all laws and regulations that apply to the provision of rehabilitation services.
• Testifies as required to substantiate any relevant case work or reports.
• Conducts an evaluation of members/clients' needs and benefit plan eligibility.
• Utilizes case management processes in compliance with regulatory and company policies.
• Facilitates appropriate condition management and optimizes overall wellness.
• Develops a proactive course of action to address issues presented.
• Monitors member/client progress toward desired outcomes.

Benefits

• Full range of medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance plan.
• Short-term and long-term disability benefits.
• Numerous well-being programs.
• Education assistance.
• Free development courses.
• CVS store discount.
• Paid Time Off (PTO) or vacation pay.
• Paid holidays throughout the calendar year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Health and Personal Care Retailers
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees