Case Manager RN- Field
About The Position
The Case Manager RN coordinates case management activities with members to evaluate medical needs and facilitate their overall wellness. The role develops strategies to address issues and outcomes and identify opportunities to enhance members’ overall wellness through integration. It also instructs members on programs and procedures in compliance with network management and clinical coverage policies. The position requires residence in one of the listed Louisiana parishes and travel within 125 miles round trip for one day in the field. The work schedule is variable, with the ability to work two days weekly until 9 p.m. local time.
Requirements
- Reside in one of the following Louisiana parishes: West Feliciana, East Feliciana, Pointe Coupee, West Baton Rouge, East Baton Rouge, Iberville, or Ascension.
- Have current, active clinical licensure as an RN.
- Have case management experience.
- Demonstrate strong customer service orientation and problem-solving skills.
- Have excellent communication and telephonic skills.
- Have excellent motivational interviewing skills and the ability to build rapport and trust telephonically.
- Demonstrate excellence in documentation and respect compliance and regulatory standards.
- Be highly organized and self-driven without direct supervision.
- Manage time effectively and achieve performance metrics.
- Have technology proficiency.
- Be able to travel within 125 miles round trip for one day in the field.
- Have a variable work schedule, including the ability to work two days weekly until 9 p.m. local time.
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 and outcomes and identify opportunities to enhance members’ overall wellness through integration.
- Instruct members on programs and procedures in compliance with network management and clinical coverage policies.
Benefits
- Medical, dental, and vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
- Other resources, based on eligibility.
- Eligible for a CVS Health bonus, commission, or short-term incentive program.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
