Case Management, Registered Nurse, Telehealth

This is a fully remote position, open to applicants in Arizona, +2 more states.

📋 Description

• Evaluate, plan, implement, and manage case management activities for members.

• Assess members’ healthcare needs and promote overall wellness.

• Create proactive strategies to enhance both short- and long-term outcomes.

• Utilize clinical tools and data analysis to assess members’ requirements and benefits.

• Exercise clinical judgment to mitigate risk factors and address intricate health and social issues.

• Perform thorough assessments encompassing co-morbidities and various diagnoses.

• Evaluate referrals to clinical resources and interdisciplinary team members with a holistic perspective.

• Collaborate with supervisors and healthcare partners to address obstacles and achieve objectives.

• Adhere to case management procedures, regulatory standards, and company protocols.

• Implement motivational interviewing techniques to enhance member engagement and evaluate health needs.

• Advocate on behalf of clients and the providers of members.

• Available to work Monday–Friday during standard business hours in the local time zone, with one to two days per week until 7 PM MT or PST.

⛳️ Requirements

• Registered Nurse with an active, unrestricted nursing license holding multi-state/compact privileges.

• Capability to obtain licensure in all non-compact states.

• Must reside within the Continental United States.

• Residence in MT or PST time zones is required.

• Minimum of 3 years of clinical/nursing practice experience.

• At least 1 year of experience in medical case management, care coordination, or discharge planning.

• Over 3 years of experience with personal computers, keyboarding, navigating multiple systems, and MS Office Suite applications.

• An Associate's degree in nursing is mandatory.

• Experience in telephonic case management is preferred.

• High-speed internet with a direct/hardwired connection; a minimum of 25 Mbps download and 3 Mbps upload speed is required.

• A quiet, secure, private designated home workspace that complies with CVS Health and HIPAA standards.

• Capability to work within the state and city of residence.

• Proficiency in using multiple monitors and navigating various applications.

• Familiarity with email, calendar invitations, Teams messaging, and virtual meetings.

• Experience with Microsoft Office 365 or comparable Google Workspace applications.

• Ability to access secure systems such as VPN and EHR portals.

• Competence in managing strong passwords and identifying suspicious emails or links.

• Ability to independently troubleshoot common technical issues.

• Provision of a desk or standing desk for extended work durations.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources promoting physical, emotional, and financial well-being.

• Company-supplied equipment (keyboard, monitor, computer, headset, etc.).

• Eligibility for CVS Health bonuses, commissions, or short-term incentive programs.