Population Health Care Manager RN (Arizona)

CVS Health•Work At Home-Arizona, AZ

6d•$60,522 - $129,615•Remote

About The Position

The Population Health Care Manager RN coordinates and facilitates comprehensive care for members with chronic conditions, medical complexities, mental health needs, and psychosocial issues through provider education and collaboration. The role works across healthcare providers to advocate for members, support effective communication, and monitor progress to promote positive outcomes and overall well-being. This telework role is based in Maricopa County, Arizona, and requires 10–25% travel to provider locations. The regular schedule is Monday through Friday, 8 a.m. to 5 p.m. Arizona Time. A flexible schedule may be available after orientation and training.

Requirements

Reside in Maricopa County, Arizona.
Hold an active, unrestricted Arizona RN license.
Have at least 5 years of experience as an RN.
Have at least 1 year of experience speaking with members in person, by phone, or virtually, and creating and delivering presentations to diverse groups and individuals.
Be willing to travel 10–25% within Maricopa County to provider locations.
Associate’s degree in Nursing.
Demonstrate problem-solving and decision-making ability.
Have knowledge of medical terminology.
Demonstrate digital literacy and proficiency with communication tools.
Ability to work with diverse groups and handle sensitive information.
Demonstrate organizational, prioritization, and flexibility skills.
Have customer relations and critical thinking skills.
Demonstrate attention to detail and the ability to analyze and plan effectively.

Nice To Haves

Managed care experience.
Case or care management experience.
Bachelor’s degree.

Responsibilities

Develop and implement pilot programs for population health initiatives based on health plan priorities.
Analyze member data, including medical history, test results, and treatment plans, and present data to health plan leadership when required.
Create educational resources and presentations about chronic conditions and condition-management initiatives.
Assess member needs, develop personalized plans, and coordinate services across healthcare providers.
Advocate for members to help ensure they receive appropriate resources and care.
Use communication platforms, including secure messages, video calls, and files, for care coordination and collaboration.
Assist providers in managing members with chronic conditions, including outreach and follow-ups through multiple channels.
Participate in community-based care-management initiatives.
Educate members and providers about condition management, symptom recognition, treatment-plan adherence, and self-management goals, using motivational interviewing techniques with members.
Develop resources to help members and providers optimize healthcare using community resources.
Identify opportunities to improve processes and documentation and develop action plans.
When required, conduct member care management, including developing personalized care plans, monitoring progress, facilitating communication among providers, members, and families, and completing documentation for the Integrated Care Management department.
Perform other duties as assigned.