About Us
CVS Health is a leader in the healthcare industry, dedicated to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and we strive to make healthcare more personal, convenient, and affordable. At CVS Health, we believe that every individual deserves compassionate and high-quality care, and we're committed to transforming the way healthcare is delivered.
Our Mission
Our mission is to make a meaningful difference in the lives of our patients, customers, and colleagues. We're driven by a passion for innovation, a commitment to excellence, and a dedication to putting our heart into every moment of your health. Our Heart At Work Behaviors support this mission, and we want every individual who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions.
Job Summary
We're seeking an experienced Full Stack Case Manager RN to join our care coordination team in a remote Illinois location. As a key member of our team, you'll be responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members across the continuum of care. You'll utilize advanced clinical judgment and critical thinking skills to effectively manage members through their illness, ensuring the appropriate level of care is being provided, preventing Emergency Department visits and acute admissions, and addressing the physical, behavioral, and social needs of our members.
Responsibilities
- Serve as primary care manager for members identified for CVS Accountable Care
- Telephonically engage members to complete a holistic assessment of current health status and work collaboratively with the care team to manage the member's most difficult symptoms and adaptation to their ongoing decline
- In collaboration with the multi-disciplinary team, develop and implement a care plan that addresses physical, behavioral, and social needs
- Educate and assist member with advanced care planning, including establishing and end-of-life treatment plan
- Monitor and evaluate effectiveness of the care plan and modify plan in collaboration with multi-disciplinary team as necessary
- Work with treating physicians to develop anticipatory symptom management plan and monitor for new issues/concerns/changes in pace of illness
- Prepare member/caregiver to understand and identify signs of functional decline and discuss long-term plan for managing to help avert medical emergencies
- Ensure safe and appropriate transitions of care by collaborating with hospital discharge planners, outpatient provider, family/caregivers, and member, to ensure adequate caregiver assistance, functional support, medical follow-up, and medication oversight during transition from facility to home
- Make referrals to the Pharmacist for medication review and recommendations as indicated
- Make referrals to Social Worker and/or BH specialist as indicated
Requirements
To be successful in this role, you'll need to possess the following qualifications:
Essential Qualifications
- 3+ years clinical RN experience
- 1+ year of experience in one of the following areas: critical care, ICU, CCU, Emergency
- A Registered Nurse that must hold an unrestricted license in their state of residence, with multi-state/compact privileges where applicable, and have the ability to be licensed in all non-compact states
Preferred Qualifications
- Managed Care experience preferred
- Medicare experience preferred
- Advanced Care Planning Experience preferred
- CCM Certification
- Excellent analytic and problem-solving skills
- Ability to work independently (this position will be work from home)
- Effective computer skills including navigating multiple systems and keyboarding
Education
An Associate degree in nursing RN is required for this role.
Compensation and Benefits
The typical pay range for this role is $66,575.08 - $142,576.72. 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.
In addition to your compensation, you'll enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
Career Growth Opportunities and Learning Benefits
We're committed to helping our employees grow and develop their careers. As a CVS Health employee, you'll have access to a range of learning and development opportunities, including:
- On-the-job training and mentorship
- Professional development courses and workshops
- Leadership development programs
- Opportunities for advancement and career growth
Work Environment and Company Culture
We're proud of our inclusive and supportive work environment, where every individual feels valued and empowered to contribute their best. Our company culture is built on the following values:
- Compassion and empathy
- Collaboration and teamwork
- Innovation and creativity
- Accountability and integrity
How to Apply
If you're passionate about delivering exceptional care and making a meaningful difference in the lives of our patients, customers, and colleagues, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team of dedicated professionals who are committed to transforming the way healthcare is delivered.
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