Case Manager RN- Field

CVS Health • Baton Rouge, LA

10d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
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 within the following parishes: Caddo, Bossier, Webster, Claiborne, Beinville, Desoto, Red River, Sabine or Natchitoches.
• Registered Nurse with current unrestricted Louisiana (LA) license
• 5+ years’ clinical practice experience
• 2+ years’ Case management and discharge planning experience
• 2+ years’ experience with personal computer, keyboard, mouse, multi-system navigation; and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams)
• Must possess reliable transportation and be willing and able to travel in Caddo, Bossier, Webster, Claiborne, Beinville, Desoto, Red River, Sabine or Natchitoches parishes 75% or more of the time. Mileage is reimbursed per our company expense reimbursement policy.

Nice To Haves

• Managed care/utilization review experience
• Case management experience in an integrated model
• Medicaid experience
• Waiver experience
• Certified Case Manager (CCM) certification
• Familiarity with QuickBase

Responsibilities

• Coordinates all case management activities with members to evaluate medical needs
• 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

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree