
Case Manager, Registered Nurse
Posted 4 days ago

Posted 4 days ago
This is a fully remote position, open to applicants in Ohio.
• Evaluate patient requirements and implement care coordination strategies.
• Create tailored care plans and ensure smooth transitions between different care environments.
• Review patient information, including medical histories, diagnostic results, and treatment plans.
• Utilize case management and nursing expertise to organize patient documentation.
• Communicate securely via internal platforms such as messaging systems and video calls.
• Perform utilization assessments to guarantee access to suitable and cost-effective healthcare.
• Set up case management systems focused on disease management and utilization evaluation.
• Monitor patient advancement and manage specific health conditions.
• Coordinate analytics initiatives and prepare reports on essential health performance metrics.
• Develop discharge planning procedures to facilitate safe and prompt transitions from hospital to home.
• Formulate resource management plans using community healthcare resources.
• Represent patients and coordinate services among various healthcare providers.
• Over 5 years of pertinent work experience.
• Currently active and unrestricted Registered Nurse License in the state of residence.
• Proficient in problem-solving and decision-making capabilities.
• Familiarity with medical terminology.
• Competence in digital literacy skills.
• Ability to engage tactfully with clients and the community.
• Capability to manage sensitive information in an ethical and responsible manner.
• Aptitude for evaluating the relative costs and benefits of possible actions.
• Ability to operate effectively in a clinical environment with diverse cultural dynamics.
• Direct/hardwired internet connection to a modem/router within 7 feet of the computer.
• Minimum internet speed of 25 Mbps for downloads and 3 Mbps for uploads.
• WiFi and satellite internet connections are not acceptable.
• A quiet, secure, and private designated home workspace that complies with CVS Health and HIPAA standards.
• Must reside and work within the same state and city.
• Associate’s Degree in Nursing (mandatory).
• Bachelor’s Degree (preferable).
• Comprehensive medical insurance.
• Dental insurance.
• Vision insurance.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Eligibility for CVS Health bonus, commission, or short-term incentive programs.
• Company-provided equipment, including keyboard, monitor, computer, headset, etc.
• Flexible work-from-home arrangements.
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