Case Manager, RN

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

📋 Description

• Perform telephonic evaluations to ascertain the medical, behavioral, and social needs of members.

• Create and coordinate individualized care plans to enhance overall wellness.

• Work in collaboration with healthcare providers and multidisciplinary teams to eliminate care barriers.

• Apply clinical judgment to tackle complex health issues and enhance outcomes.

• Assist members during transitions of care and link them to suitable resources.

• Ensure adherence to regulatory and company standards for case management.

• Availability to work Monday through Friday from 9:00 AM to 5:30 PM EST, with occasional evenings, weekends, holidays, and limited travel up to 10%.

• Work remotely from a designated home office within North Carolina.

• Efficiently navigate multiple systems and applications to manage casework.

⛳️ Requirements

• Possess an active, unrestricted RN license in North Carolina.

• Must be a resident of North Carolina.

• A minimum of 2 years of clinical experience as an RN.

• Hold an Associate Degree in Nursing.

• Experience in any clinical environment is acceptable, including ICU, NICU, Emergency Department, Med/Surg, Telemetry, OR, Home Health, Hospice, Long-Term Care, Infusion, and Orthopedics.

• Excellent communication and member engagement skills.

• 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.

• A quiet, secure, private virtual work location at home that complies with CVS Health and HIPAA regulations.

• Capability to provide workspace furniture, such as a desk or standing desk.

• Comfortable setting up and utilizing multiple monitors while navigating various applications concurrently.

• Competence in communicating through email, calendar invites, Teams messaging, and virtual meetings.

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

• Ability to securely log into systems like VPN and EHR portals.

• Ability to adhere to computer security practices, manage strong passwords, and identify suspicious emails or links.

• Skill in independently resolving common technical issues and reaching out to IT for unresolved problems.

• Willingness to learn new skills as the workplace evolves.

• Preferred: Certified Case Manager (CCM).

• Preferred: Bachelor of Science in Nursing (BSN).

• Preferred: Experience in Case Management or Managed Care.

• Preferred: Experience with Discharge Planning.

• Preferred: Proficiency in Microsoft Office Suite.

🏝️ Benefits

• Flexibility to work remotely.

• Support for work-life balance.

• Opportunities for professional development in care management.

• Company-sponsored assistance for obtaining additional state RN licenses.

• Provision of company equipment (keyboard, monitor, computer, headset, etc.).

• Coverage for medical, dental, and vision needs.

• Paid time off benefits.

• Options for retirement savings.

• Access to wellness programs.

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

• Eligibility for CVS Health bonus, commission, or short-term incentive program alongside base pay.