Case Manager, Registered Nurse

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Conduct telephonic assessments and occasionally perform face-to-face evaluations to assess member healthcare needs.

• Create personalized care plans aimed at enhancing health outcomes and overall wellness.

• Coordinate services, resources, and programs for members with complex medical and social requirements.

• Identify risks, eliminate barriers to care, and facilitate smooth transitions within the healthcare continuum.

• Collaborate with multidisciplinary teams to enhance member outcomes and ensure effective claim management.

• Engage members using effective communication strategies and motivational interviewing techniques.

⛳️ Requirements

• Active, unrestricted RN license in your state of residence.

• Willingness to obtain additional state licenses as necessary.

• Minimum of 3 years of experience as an acute care hospital RN.

• 3 to 5 years of experience in acute oncology.

• Associate Degree in Nursing (ADN) required.

• Preference for candidates with a Compact RN license.

• Certification as an oncology nurse or certified chemotherapy nurse is preferred.

• At least 1 year of experience in Case Management and/or Home Health is preferred.

• Certification as a Certified Case Manager (CCM) is preferred.

• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint) is preferred.

• Exceptional telephonic communication and member engagement skills.

• BSN is preferred.

• Ability to work Monday through Friday with occasional late shifts until 8:00 PM.

• Travel is less than 5% for potential clinical audits.

🏝️ Benefits

• Company-sponsored additional state licenses as required.

• No weekend or holiday work is necessary.

• Flexible 8-hour shifts available between 8:00 AM and 6:00 PM in your local time zone.

• 100% remote work environment.

• Comprehensive medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Various resources supporting physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive program in addition to base salary.