Case Manager, Registered Nurse – Telehealth

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

📋 Description

• Evaluate, strategize, implement, and coordinate case management activities for members.

• Assess members' medical requirements and promote overall wellness.

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

• Utilize clinical tools and data analysis to assess members' needs and benefits.

• Employ clinical judgment and techniques to mitigate risk factors and obstacles.

• Conduct comprehensive assessments that consider co-morbidities and various diagnoses impacting functionality.

• Review referrals to clinical resources and interdisciplinary team members.

• Partner with supervisors and healthcare stakeholders to address challenges and achieve objectives.

• Adhere to case management protocols along with regulatory and company guidelines.

• Implement motivational interviewing techniques to optimize member engagement and evaluate health requirements.

• Advocate on behalf of the client and the member’s healthcare provider.

• Work Monday through Friday during standard business hours in the local time zone, with one to two days a week extending until 7 PM.

⛳️ Requirements

• Registered Nurse currently residing in the Continental United States.

• Valid nursing license with unrestricted multi-state/compact privileges and capability to be licensed in all non-compact states.

• A minimum of 3 years of clinical/nursing practice experience.

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

• More than 3 years of experience with personal computers, including keyboarding, navigating multiple systems, and using MS Office Suite applications.

• Direct/hardwired internet connection to a modem/router within 7 feet of the computer.

• Minimum internet speed of 25 Mbps download and 3 Mbps upload.

• WiFi and satellite internet connections are not permitted.

• A quiet, secure, private, designated home virtual workspace compliant with CVS Health and HIPAA regulations.

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

• Capability to set up and utilize multiple monitors while managing several applications concurrently.

• Proficient in communicating via email, calendar invitations, Teams messaging, and virtual meetings.

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

• Ability to access secure systems like VPN and EHR portals.

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

• Competence in troubleshooting common technical issues and reaching out to IT for assistance when required.

• Willingness to acquire new skills.

• Associate's degree in nursing is mandatory.

• Experience in telephonic case management is preferred.

• Strong communication and interpersonal skills are highly desirable.

• A BSN is preferred.

🏝️ Benefits

• Company-provided equipment such as keyboard, monitor, computer, headset, etc.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Options for retirement savings.

• Wellness initiatives.

• Additional resources promoting physical, emotional, and financial health.

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