Bilingual Case Manager Registered Nurse (Field – Must reside in Hillsborough County Florida)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This Case Management RN/LPN position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of the Hillsborough County FL (Applicable Zip Codes: 33614, 33603, and 33604). The requirements is for candidates to hold a Florida Registered Nurse License, and travel 50-75% of the time to meet with members face to face.

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Clinical Case Management to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Clinical Case Management is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Clinical Case Management will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Clinical Case Management will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Required Qualifications

• Bi-lingual in English and Spanish

• Active and unrestricted RN license in FL

• Must reside in Hillsborough Florida ( Applicable Zip Codes: 33614, 33603, and 33604)

• Must possess reliable transportation and be willing and able to travel up to 50-75% of their time to meet members face to face in Polk, Hillsborough, Highlands, Hardee, Manatee Counties. Mileage is reimbursed per our company expense reimbursement policy

• 1+ years clinical experience

• 1+ year computer proficiency in Microsoft Word, Excel, and Outlook

​​Preferred Qualifications

• Experience in behavioral health or a long-term care setting

• Case management and discharge planning experience

• Managed Care experience

• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment

• Effective communication skills, both verbal and written

​Education

• Diploma RN or Associates Degree in Nursing required

• Bachelors Degree in Nursing preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) pla