Case Manager, RN

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

📋 Description

• Engage in a collaborative process that includes assessment, planning, facilitation, care coordination, evaluation, and advocacy.

• Address the comprehensive health needs of individuals and families through effective communication and accessible resources.

• Enhance quality and cost-effective outcomes for Medicare beneficiaries.

• Conduct in-person case management activities within a specified geographic region as directed by leadership or in response to business requirements.

• Availability to work Monday through Friday, from 8:00 AM to 5:00 PM Eastern.

⛳️ Requirements

• Possession of an active and unrestricted Compact license.

• Preferred clinical practical experience of at least 3-5 years, including areas such as diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care with Medicare members.

• At least 2-3 years of experience in case management, discharge planning, and/or home health care coordination.

• Current Registered Nurse with an active state license in good standing in the region where job responsibilities are carried out.

• Bachelor’s degree or equivalent experience is required; must obtain a bachelor’s degree within 3-5 years as part of professional development.

• Willingness to travel occasionally within a designated area for in-person case management tasks.

• Bilingual candidates are preferred.

• Strong analytical and problem-solving abilities.

• Excellent communication, organizational, and interpersonal skills.

• Capability to work independently, including remote work arrangements.

• Proficient in MS Word, Excel, Outlook, PowerPoint, Microsoft Office 365, Teams, or similar Google Workspace applications.

• Competent computer skills, including the ability to navigate multiple systems and proficient keyboarding.

• Willingness to obtain multistate RN licenses if necessary; the company will provide support.

• 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.

• A quiet, secure, and private designated home workspace that complies with CVS Health and HIPAA guidelines.

• Ability to set up and utilize multiple monitors and manage multiple applications simultaneously.

• Capable of communicating via email, calendar invites, Teams messaging, and virtual meetings.

• Proficient in logging into secure systems such as VPN and EHR portals, managing lock screens, strong passwords, and identifying suspicious emails or links.

• Skillful in resolving common technical issues independently.

• Eagerness to learn new skills as the workplace continues to evolve.

🏝️ Benefits

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

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

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

• Opportunity to work from home.