Case Manager Registered Nurse (Work from Home - New York License)

divh2Care ManagerRegistered Nurse/h2pWere building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, youll 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./ppJob Summary:/ppThe Care ManagerRegistered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies./ppKey Responsibilities:/pulli50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care./liliCompiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the members identified needs./liliProvides evidence-based disease management education and support to help the member achieve health goals./liliEnsure the appropriate members of the interdisciplinary care team are involved in the members care./liliProvides care coordination to support a seamless health care experience for the member./liliMeticulous documentation of care management activity in the members electronic health record./liliCollaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the members stable health condition./liliIdentifies and connects members with health plan benefits and community resources./liliMeets regulatory requirements within specified timelines./liliThe Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed./liliAdditional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members./li/ulpEssential Competencies and Functions:/pulliAbility to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role./liliConduct oneself with integrity, professionalism, and self-direction./liliExperience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care./liliFamiliarity with community resources and services./liliAbility to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records./liliMaintain strong collaborative and professional relationships with members and colleagues./liliCommunicate effectively, both verbally and in writing./liliExcellent customer service and engagement skills./li/ulpRequired Qualifications:/pulliMust have active and unrestricted Registered Nurse (RN) licensure in the state of NY/liliProficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the CM RN role./liliAccess to a private, dedicated space to conduct work effectively to meet The requirements of the position./liliConfidence working at home / independent thinker, using tools to collaborate and connect with teams virtually./liliMinimum 3+ years of nursing experience/liliMinimum 2+ years of case management, discharge planning and/or home healthcare coordination experience/li/ulpPreferred Qualifications:/pulliExperience providing care management for Medicare and/or Medicaid members./liliExperience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health./liliExperience conducting health-related assessments and facilitating the care planning process./liliBilingual skills, especially English-Spanish/li/ulpEducation:/pulliAssociates of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)/liliBachelors of Science in Nursing (BSN) (PREFERRED)/li/ulpAnticipated Weekly Hours:/pp40/ppTime Type:/ppFull time/ppPay Range:/ppThe typical pay range for this role is:/pp$66,575.00 - $142,576.00/ppThis 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./ppGreat benefits for great people/ppWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families./ppThis 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./ppAdditional details about available benefits are provided during the application process and on Benefits Moments./p/div