RN Case Manager

CVS Health • Work At Home-Louisiana, LA

4d • $54,095 - $116,760

About The Position

Coordinates case management activities with members to evaluate medical needs and facilitate 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. The role has a variable work schedule and requires working until 9 p.m. local time two days each week.

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 the ability to build rapport and trust telephonically.
• Excellence in documentation and adherence to 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 until 9 p.m. local time two days weekly.
• Bachelor’s degree required.

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, achieve 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.
• Meet performance metrics and manage time effectively.

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.

What This Job Offers

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