Case Manager RN (Remote)

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand ? with heart at its center ? our purpose sends a personal message that how we deliver our services is just as important... as what we deliver.
Our Heart At Work Behaviors? support this purpose. We want everyone 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 to make health care more personal, convenient and affordable.
This is a full-time telework position.
Hours for this role are Monday through Friday 8:00am to 5:00pm in the time zone of residence. There are currently no nights, no weekends, and no holidays; however, is subject to change based on business needs.
Position Summary
This Case Manager RN position is with Aetna?s National Medical Excellence (NME) team handling Aetna Transplant, Cellular Therapies, and Gene Therapies. This is a fully remote position. Candidates must have an active, current, and unrestricted compact RN licensure in the state of residence.
This role is a blended role doing both Case Management and Utilization Management.
The RN Case Manager 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.
Required Qualifications
? Must have active, current, and unrestricted compact RN licensure in the state of residence
? Must possess a California Registered Nurse (RN) licensure OR must be willing to apply for California RN licensure within 60 days of hire date.
? Must be willing and able to obtain multiple state RN licensures (expense paid for by organization)
? 5 + years clinical practice experience as an RN
? 6+ months Case Management or Utilization Management experience
? Must be able to work Monday through Friday 8:00am to 5:00pm in the time zone of residence. There are currently no nights, no weekends, and no holidays; however, is subject to change based on business needs.
Preferred Qualifications
? Case Management Certification
? Transplant experience
? Independent Physician?s Association (IPA) experience
? Physician's Medical Group (PMG) experience
? Managed care experience
? 2+ years experience in critical care
? Proficiency with desktop software applications such as email, Word
? California Registered Nurse (RN) license
Education
? Associate's Degree required
? BSN preferred
Pay Range
The typical pay range for this role is:
$60,522.80 - $129,600.00
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.
In addition to your compensation, 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. As for time off, Company employees enjoy Paid Time Off (?PTO?) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 06/21/2024

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