Registered Nurse Jobs

About The Position

Requirements

• Registered Nurse residing in the Continental United States with an unrestricted nursing license, multi-state/compact privileges, and the ability to be licensed in all non-compact states.
• Must live in the Mountain or Pacific time zone.
• At least 3 years of clinical or nursing practice experience.
• At least 1 year of medical case management, care coordination, or discharge planning experience.
• At least 3 years of experience with personal computers, keyboarding, navigating multiple systems, and MS Office Suite applications.
• High-speed internet and the ability to hardwire the computer to a modem or router.
• Direct-wired internet connection within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
• A quiet, secure, private, tidy, and organized designated home workspace that complies with CVS Health and HIPAA guidelines and allows uninterrupted work.
• Work from within the state and city where the employee has confirmed they currently live.
• Provide personal workspace furniture, such as a desk or standing desk, and be able to work at a desk for extended periods.
• Meet and adhere to the stated work-from-home requirements, including required internet speeds.
• Comfort setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate using email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 applications (Teams, Outlook, Word, Excel, and PowerPoint) or similar tools such as Google Workspace.
• Ability to access secure systems such as VPNs and EHR portals; secure a computer when unattended; manage strong passwords; and recognize suspicious emails or links.
• Ability to troubleshoot common technical issues independently and contact IT for unresolved issues.
• Openness to learning new skills as the workplace evolves.
• Associate degree in nursing required.

Nice To Haves

• BSN preferred.
• Telephonic case management experience.
• Excellent communication and interpersonal skills.

Responsibilities

• Use clinical tools and information and data review to evaluate members’ needs and benefits.
• Apply clinical judgment and strategies to reduce risk factors and barriers and address complex health and social indicators that affect care planning.
• Conduct assessments using information from various sources, considering all conditions, including comorbidities and multiple diagnoses that affect functionality.
• Use a holistic approach to assess the need for referrals to clinical resources and other interdisciplinary team members.
• Collaborate with the supervisor and other key stakeholders in members’ healthcare to overcome barriers to meeting goals and objectives.
• Use case management processes in compliance with regulatory requirements and company policies and procedures.
• Use motivational interviewing to support member engagement and understand members’ health status and needs.
• Work on behalf of the client and the member’s provider.
• Assess, plan, implement, and coordinate case management activities to evaluate medical needs and facilitate member wellness.
• Develop proactive courses of action to address issues and improve short- and long-term outcomes.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Bonus, commission, or short-term incentive program, based on eligibility