Case Manager, Registered Nurse

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

Hours for this role will be Monday through Friday, 8:00 AM to 5:00 PM in Central Standard Time (CST), Mountain Standard Time (MST) or Pacific Standard Time (PST) (candidate time zone).

Training may be Eastern Standard Time (EST) to align with trainers schedules.

Candidates must be located in CST, MST or PST time zones.

Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. 

Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. 

Required Qualifications

- Active and unrestricted California Registered Nurse (RN) license

- Must possess active and unrestricted compact RN licensure in state of residence.

- 3 years clinical practical experience preference: (Preference would be diabetes, Congestive heart failure (CHF) , Chronic Kidney Failure (CKD), post-acute care, hospice, palliative care, cardiac) with Medicare

- 2 years Case Management, discharge planning and/or home health care coordination experience 

Preferred Qualifications

- Willing and able to obtain multi state RN licenses if needed, company will provide

- Excellent analytical and problem-solving skills 

- Effective communications, organizational, and interpersonal skills. 

- Ability to work independently (may require working from home). 

- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. 

- Efficient and Effective computer skills including navigating multiple systems and keyboarding 

- Bachelors of Science in Nursing

Education

Associates Degree in Nursing or Nursing Diploma required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

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) 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