Case Manager – Registered Nurse, Compact RN License

This is a fully remote position, open to applicants in Alabama, +5 more states.

📋 Description

• Oversee the provision of relevant benefits and healthcare information to assess eligibility for benefits.

• Encourage participation in wellness initiatives.

• Create, execute, and uphold health strategies, tactics, policies, and programs.

• Ensure the effective delivery of benefits.

• Foster overall member wellness and facilitate a successful, timely return to work.

• Assist with network management and clinical coverage policies and programs.

• Collaborate with clinical coverage and benefits policies and programs.

⛳️ Requirements

• Must reside in the Central Time Zone (CST).

• A minimum of 3 years of clinical practical experience is required.

• At least 2 years of experience in case management, discharge planning, and/or home health care coordination is necessary.

• An Associate's Degree in Nursing is REQUIRED.

• Must possess an active and unrestricted Compact Registered Nurse (RN) License in the state of residence.

• Must have or be capable of obtaining a direct/hardwired internet connection to a modem/router within 7 feet of the computer.

• Internet speed must be at least 25 Mbps download and 3 Mbps upload.

• WiFi and satellite internet are not acceptable.

• A quiet, secure, and private designated home virtual work location is required, in compliance with CVS Health and HIPAA guidelines.

• Must work within the state and city of current residence.

• Must provide personal workspace furniture, such as a desk or standing desk.

• Must meet the required internet speeds and comply with all Work From Home requirements if hired.

• Comfortable with setting up and using multiple monitors and navigating various applications simultaneously.

• Ability to communicate effectively via email, calendar invites, Teams messaging, and virtual meetings.

• Experience with Microsoft Office 365 applications or similar Google Workspace applications is essential.

• Capability to log in to secure systems such as VPN and EHR portals.

• Ability to manage strong passwords and identify suspicious emails or links.

• Competence in resolving common technical issues independently.

• Preferred: experience in diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care with Medicare members.

• Preferred: strong analytical and problem-solving skills.

• Preferred: excellent communication, organizational, and interpersonal skills.

• Preferred: ability to work autonomously.

• Preferred: bilingual.

• Preferred: national professional certification (CRC, CDMS, CRRN, COHN, or CCM).

• A Bachelor's Degree in Nursing is PREFERRED.

🏝️ Benefits

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• Company-provided equipment, including a keyboard, monitor, computer, and headset.

• Company reimbursement for expenses related to obtaining multi-state RN licenses, if necessary.