RN Case Manager

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

📋 Description

• Oversees all case management activities with members to assess medical requirements

• Promotes the overall wellness of members

• Formulates strategies to tackle issues and opportunities that enhance the member's overall wellness through integration

• Guides programs and procedures in accordance with network management and clinical coverage policies

• Works flexible hours, including 2 days per week until 9 PM local time

⛳️ Requirements

• Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)

• Experience in Case Management

• Strong customer service focus and problem-solving abilities

• Excellent communication and telephonic skills

• Proficient in motivational interviewing and building rapport and trust over the phone

• Exceptional documentation skills while adhering to compliance and regulatory standards

• Highly organized and self-motivated without direct supervision

• Effective time management skills

• Ability to meet performance metrics

• Proficient in technology

• Availability for a variable work schedule, including 2 days per week until 9 PM local time

• Bachelor's Degree Required

• Preferred: Bachelor's and/or Master's Degree

• Preferred: CCM Certification

• Preferred: Prior experience in a Managed Care Organization

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

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

• CVS Health bonus, commission, or short-term incentive program in addition to the base pay range