Case Manager RN- Field

CVS Health • Hammond, LA

17h • $54,095 - $116,760

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 in one of the following parishes: Plaquemines, Jefferson, Orleans, St. Bernard, West Feliciana, East Feliciana, Pointe Coupee, West Baton Rouge, East Baton Rouge, Iberville, Ascension, St. Mary, Assumption, St. James, Terrebonne, Lafourche, St. Charles, St. John, Winn, Grant, Rapides, Vernon, LaSalle, Avoyelles, Catahoula, Concordia, Union, Lincoln, Jackson, Morehouse, Ouachita, Caldwell, West Carroll, Richland, Franklin, East Carroll, Madison, Tensas, St. Helena, Livingston, Tangipahoa, St. Tammany, Washington
• Registered Nurse with current unrestricted Louisiana (LA) license
• 3+ years’ clinical practice experience as an RN
• 1+ years' Case management and discharge planning experience
• Must possess reliable transportation and be willing and able to travel, up to 75% or more of the time. Mileage is reimbursed per our company expense reimbursement policy.
• Proficiency with MS Office Suite (Outlook, Word, Excel, SharePoint, Teams), EMR systems, and multi-system navigation.
• Strong organizational skills with attention to detail, quality, and time management.
• Demonstrated ability to build and sustain a positive work culture that promotes engagement.
• Mastery in problem-solving, decision-making, collaboration, and execution.
• Knowledge of care transition phases and available member resources.
• Digital literacy and ability to leverage technology for operational efficiency.

Nice To Haves

• Medicaid experience
• Behavioral health experience
• Managed care/utilization review experience
• Waiver experience
• Crisis intervention skills
• Certified Case Manager (CCM) certification
• Familiarity with EMR
• BSN preferred

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