RN Care Manager

CVS Health • Work At Home-Louisiana, LA

4d • $54,095 - $116,760

About The Position

Coordinates case management activities with members to evaluate their medical needs and facilitate their overall wellness. Develops strategies to address issues, achieve outcomes, and identify opportunities to enhance members’ overall wellness through integration. Instructs members on programs and procedures in compliance with network management and clinical coverage policies.

Requirements

• Current, active clinical licensure as an RN, LCSW, LPC, or LMFT.
• Case management experience.
• Strong customer service orientation and problem-solving skills.
• Excellent communication and telephonic skills.
• Excellent motivational interviewing skills and ability to build rapport and trust over the phone.
• Excellent documentation skills and ability to respect compliance and regulatory standards.
• Highly organized and self-driven without direct supervision.
• Ability to manage time effectively and achieve performance metrics.
• Technology proficiency.
• Ability to work a variable schedule, including two days per week until 9 p.m. local time.
• Bachelor’s degree required.

Nice To Haves

• 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, achieve outcomes, and identify opportunities to enhance member wellness through integration.
• Instruct members on programs and procedures in compliance with network management and clinical coverage policies.

Benefits

• Medical coverage
• Dental coverage
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level