Experienced Full-Time Remote CVS Accountable Care Case Manager RN - Delivering Compassionate Patient Care and Enhancing Health Outcomes

Join CVS Health: Transforming Healthcare with Heart At CVS Health, we're driven by a singular purpose: Bringing our heart to every moment of your health. As a leading healthcare company, we're committed to delivering enhanced, human-centric care in a rapidly changing world. Our Heart At Work Behaviors empower every employee to play a vital role in transforming our culture and accelerating innovation to make healthcare more personal, convenient, and affordable. About the Role: CVS Accountable Care Case Manager RN - Remote We're seeking a compassionate and experienced Registered Nurse to join our team as a CVS Accountable Care Case Manager. As a primary care manager, you'll be responsible for telephonically assessing, planning, implementing, and coordinating case management activities with members across the continuum of care. Your advanced clinical judgment and critical thinking skills will help ensure that members receive the right level of care, preventing unnecessary hospital visits and addressing their physical, behavioral, and social needs. Key Responsibilities: Serve as primary care manager for members identified for Care Management program Engage members to complete holistic assessments of their current health status and work collaboratively with the care team to manage symptoms Collaborate with a multi-disciplinary team to develop and implement care plans that address physical, behavioral, and social needs Educate and assist members with advanced care planning Monitor and evaluate the effectiveness of care plans Work with treating physicians to develop anticipatory symptom management plans and monitor for new issues or concerns Prepare members and caregivers to understand and identify signs of functional decline and discuss long-term plans for managing care Ensure safe and appropriate transitions of care by collaborating with hospital discharge planners, outpatient providers, family members, and caregivers Requirements and Qualifications: Essential Qualifications: Minimum of 3 years of professional clinical nursing experience, with a preference for experience in care coordination 2+ years of care management experience in a health plan, hospice, home health, or hospital setting Registered Nurse with an unrestricted license in their state of residence, with multi-state/compact privileges if living in a compact state Strong organizational, communication, and problem-solving skills Proficiency with electronic health records (EHR) systems Excellent analytic and problem-solving skills Ability to work independently in a remote setting Effective computer skills, including navigating multiple systems and keyboarding Required Attributes: Empathy and Compassion: Essential for patient advocacy and support Attention to Detail: Critical for accurate documentation and care planning Adaptability: Ability to handle changing situations and patient needs Communication Skills: Strong verbal communication skills to effectively interact with patients, families, and healthcare providers Organizational Skills: Excellent organizational and time management skills to handle multiple tasks and prioritize effectively Technical Proficiency: Familiarity with electronic medical records (EMR) systems and other healthcare technologies Interpersonal Skills: Compassionate and empathetic nature, with the ability to provide emotional support to patients Preferred Qualifications: Managed Care, care coordination, case management, or a related field EPIC experience Medicare experience Bilingual - English/Spanish Chronic Disease care management CCM Certification Education and Licensure: Active Registered Nurse (RN) license Bachelor's degree in Nursing (BSN) is preferred What We Offer: Compensation and Benefits: We offer a competitive salary, with a typical pay range of $61,360.00 - $132,600.00 per year, depending on experience and qualifications. In addition to your base salary, you'll be eligible for a CVS Health bonus, commission, or short-term incentive program. Our comprehensive benefits package includes: Medical, dental, and vision benefits 401(k) retirement savings plan and Employee Stock Purchase Plan Fully-paid term life insurance plan Short-term and long-term disability benefits Well-being programs and education assistance Free development courses and CVS store discounts Paid Time Off (PTO) and paid holidays Work Environment and Culture: As a remote employee, you'll have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on empathy, compassion, and a commitment to delivering exceptional patient care. We're a diverse and inclusive organization that values the contributions of all our employees. Why Join CVS Health? By joining CVS Health, you'll become part of a team that's dedicated to transforming healthcare and making a positive impact on our communities. You'll have opportunities for career growth and development, as well as the chance to work with a talented and compassionate team of healthcare professionals. Take the Next Step: If you're a motivated and compassionate Registered Nurse looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. Please submit your application by December 30, 2024, to be considered for this position. Apply To This Job Apply for this job