Case Manager RN - Field - Must live in Louisiana

CVS Health•Shreveport, LA
•$54,095 - $116,760•Remote

About The Position

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.

Requirements

  • Must reside in Louisiana in one of the following parishes: Region 7: Caddo, Bossier, Webster, Claiborne, Bienville, Red River, DeSota, Sabine, Natchitoches
  • Current/Active Clinical Licensure (RN, 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 documentation 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

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

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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