Case Manager, RN

Description: • 100% remote Nurse Case Manager responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans. • Evaluate member medical needs to facilitate and promote overall wellness and develop proactive care plans to improve short and long term outcomes. • Apply data driven methods to identify members and create individualized case management programs and referrals. • Conduct comprehensive clinical assessments and evaluate needs based on member needs, benefit plans or external programs/services. • Advocate for patients within existing health care coverage and promote quality, cost effective outcomes. • Identify and escalate quality of care issues and provide high level customer service while utilizing motivational interviewing to engage members. Requirements: • Must have active, current and unrestricted RN licensure in state of residence and have the ability to be licensed in all non-compact states. • Must be willing and able to work Monday through Friday, 8 hour shift between 7am to 5pm Arizona time. • Must live in either PST, MST, or Arizona Time zones. • 3+ years of clinical practice experience required. • 1+ years of experience utilizing MS Office suites. • Case management experience preferred. • Case Manager Certification (preferred). • Associate's degree required; BSN preferred. Benefits: • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Eligible for a CVS Health bonus, commission or short-term incentive program in addition to base pay range. Apply tot his job Apply To this Job