Rn Jobs in St Cloud

About The Position

Requirements

• Current, active, unrestricted RN license in the state of residence.
• Willingness and ability to obtain additional state licenses after hire; the company pays for them.
• At least 3 years of acute-care experience as an RN.
• Ability and willingness to work Monday through Friday, 8:00 a.m. to 4:30 p.m. in the time zone of residence, with an occasional 11:00 a.m. to 8:00 p.m. Eastern Time shift once per quarter.
• Associate degree required.
• Meet work-from-home requirements, including a direct wired connection to a modem or router within 7 feet of the computer, minimum internet speeds of 25 Mbps download and 3 Mbps upload, and no Wi-Fi or satellite internet.
• Maintain a quiet, secure, private, tidy, organized, distraction-free home workspace compliant with company and HIPAA guidelines.
• Work from within the state and city where the employee has confirmed they live.
• Provide workspace furniture, such as a desk or standing desk.
• Be comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Communicate using digital channels such as email, calendar invitations, Teams messaging, and virtual meetings.
• Use Microsoft Office 365 applications or similar tools such as Google Workspace.
• Access secure systems such as VPNs and EHR portals, follow computer and password security practices, and recognize suspicious emails or links.
• Resolve common technical issues independently and contact IT for unresolved issues.
• Be open to learning new skills as the workplace environment evolves.

Nice To Haves

• Compact RN license or multistate licensure.
• Certified Case Manager (CCM).
• Managed care experience.
• Hospital experience in ICU, CCU, Step Down, ER, or OR.
• Telephonic case-management and/or telephonic experience.
• Bachelor’s degree.

Responsibilities

• Use data-driven methods to identify members for individualized case-management programs or referrals to alternative health-care programs.
• Conduct comprehensive clinical assessments.
• Evaluate needs and develop flexible approaches based on member needs, benefit plans, or external programs and services.
• Advocate for patients to the full extent of their existing health-care coverage.
• Promote quality, cost-effective outcomes and suggest improvements to program or operational efficiency.
• Identify and escalate quality-of-care issues through established channels.
• Provide a very high level of customer service.
• Assess members’ health literacy, technology capabilities, and readiness to change.
• Use influencing and motivational-interviewing skills to support member engagement and lifestyle or behavior changes.
• Provide coaching, information, education, and support so members can make ongoing independent medical and healthy-lifestyle choices.
• Assess members’ health status and care-coordination needs, perform inpatient review and discharge planning, and develop, implement, monitor, and evaluate case-management plans.
• Involve the Medical Director when indicated and close cases when members meet discharge criteria.

Benefits

• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources.
• Eligibility for a CVS Health bonus, commission, or short-term incentive program.