CVS Health

No weekends and no holidays.. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies.. The Case Manager is responsible for conducting face to face visits in the NJ Medicaid members home utilizing comprehensive assessment tools for members enrolled.. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants.. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS).

case manager rn

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.
Position Summary
This position requires up to 25-50% travel in the state of NJ. Prefers candidates residing in Hudson, Bergan, Essex counties NJ. 
Shift standard business hours. No weekends and no holidays.
Helping members manager their care, and creating care plans to help the member succeed and have a healthier life.
Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing and communication skills are required.
Fundamental Components/Job Description:
The Case Manager is responsible for conducting face to face visits in the NJ Medicaid members home utilizing comprehensive assessment tools for members enrolled. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place. The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner. The care manager is responsible for documenting accurately and timely in the member's electronic health record. This position requires the case manager to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency has been attained in their role
Required Qualifications
2+ years clinical practice experience clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required 
-A Registered Nurse that must hold an unrestricted license in the state of New Jersey & their state of residence. 
<ul>
<li>
Willing and able to travel up to 25-50% of their time to meet members face to face anywhere in the state of NJ
</li>
<li>
Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy
</li>
</ul>
-Must be comfortable completing Field based assessments on people of all different and socioeconomic status and settings, travel to meet with Members.
Preferred Qualifications
<ul>
<li>
Assessment and Case management and/or discharge planning experience preferred 
</li>
<li>
Managed Care experience preferred 
</li>
</ul>
<h3>Education</h3>
Associate Degree in Nursing required.
Bachelor in Nursing is preferred
Pay Range
<h3>The typical pay range for this role is</h3>
$61,360.00 - $132,600.00
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 
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. 
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. 
<script id="detrack" src="https://d2e48ltfsb5exy.cloudfront.net/p/t.js?i=0,1" data-g="80c502b6248d44ba9de09882d7d715c81624"></script>

START NEW SEARCH