Bilingual Case Manager Registered Nurse Field Must reside in Hillsborough or Polk County Florida

Clinical Case Management

We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time.

This is a fulltime remote role with 50-75% travel required for face-to-face visits with members in Polk, Hillsborough, Highlands, Hardee, Manatee Counties. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.

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 or Polk County Florida
• Willing and able to travel 50-75% of their time to meet members face to face in Polk, Hillsborough, Highlands, Hardee, Manatee Counties
• 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: $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.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.