Case Manager RN - Middlesex County
Case Manager RN - Middlesex County
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$ 72627 - 155538
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.
Position Summary
Signing bonus potential up to $10000 for eligible external candidates who possess NJ Choice Certification.
Job description:
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 costeffective 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 members home utilizing comprehensive assessment tools for members enrolled in Managed LongTerm Services and Supports program (MLTSS) and/or Dual Special Needs Program (DSNP/ FIDE). Care manager may also be responsible for face to face assessments with nonMLTSS members to evaluate the medical needs of the member to facilitate the members overall wellness and help them obtain the services they need to thrive by addressing requests for services such as adult medical daycare pediatric medical daycare personal care assistant nursing facility custodial requests personal preference program and MLTSS program enrollment. Successful completion of company sponsored NJ Choice Certification is requirement for continued employment. Member assignment may include pediatric population and medically complex cases. 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 costeffective manner within the MLTSS/ FIDE benefit. The care manager is responsible for documenting accurately and timely in the members 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. 50 to 75 travel in Middlesex County and surrounding counties.
Required Qualifications
Active and unrestricted RN license in NJ
3 years clinical practice experience e.g. hospital setting alternative care setting such as home health or ambulatory care
50 to 75 travel in Middlesex County and surrounding counties
Reliable transportation required; Mileage is reimbursed per our company expense reimbursement policy
Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services Office of Community Choice Options guidance an exam score of 80 or higher is along with successful completion of the State training modules and field mentoring component.
Preferred Qualifications
- Candidates residing in Middlesex County
Case management and/or discharge planning experience
Managed Care experience
Medicaid and Medicare experience
LTSS experience
Experience using computer keyboard mouse multisystem navigation; and MS Office Suite applications (Outlook Word Excel SharePoint Teams)
Education
- Minimum Associate degree or diploma in nursing required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$72627.00 $155538.00This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above.
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 our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:
Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.
Nocost programs for all colleagues including wellness screenings tobacco cessation and weight management programs confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off flexible work schedules family leave dependent care resources colleague assistance programs tuition assistance retiree medical access and many other benefits depending on eligibility.
Required Experience:
Manager
Employment Type
Full-Time
