RN Case Manager

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

📋 Description

• Oversee all case management operations in collaboration with members to assess their medical requirements.

• Promote the overall health and well-being of members.

• Create strategies to tackle challenges, enhance outcomes, and seize opportunities to improve members' overall wellness through integration.

• Deliver instructions on programs and procedures in adherence to network management and clinical coverage policies.

⛳️ Requirements

• Must possess a current and active clinical license (RN, LCSW, LPC, LMFT).

• Experience in case management is essential.

• Strong focus on customer service and problem-solving abilities.

• Exceptional communication and telephonic skills.

• Proficient in motivational interviewing techniques and establishing rapport and trust over the phone.

• High standards in documentation and adherence to compliance and regulatory requirements.

• Highly organized and self-motivated, capable of working independently without direct supervision.

• Effective time management skills.

• Ability to meet performance metrics.

• Proficient in technology.

• Flexible work schedule with availability to work two days a week until 9 PM local time.

• A bachelor's degree is required.

• CCM certification is preferred.

• Prior experience in a Managed Care Organization is preferred.

🏝️ Benefits

• Comprehensive medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources that support physical, emotional, and financial well-being, based on eligibility.

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