Case Manager RN - Field Mercer County NJ
Case Manager RN - Field Mercer County NJ
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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.
This is a work from home flexible position with 2550 travel requirements within Mercer County New Jersey 50mile radius from applicants home).
Standard Working hours Monday Friday 85 pm EST.
ICM Case Manager RN
WFH Flexible
Position Summary:
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing bestinclass operating and clinical models. You can have a lifechanging impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication we collaborate with members providers and community organizations to address the full continuum of our members health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing planning implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness.
The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and longterm outcomes as well as opportunities to enhance a members overall wellness.
Uses clinical tools and information/data review to conduct an evaluation of members needs and benefits.
Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
Conducts assessments that consider information from various sources such as claims to address all conditions including comorbid and multiple diagnoses that impact functionality.
Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
Collaborates with supervisor and other key stakeholders in the members healthcare in overcoming barriers in meeting goals and objectives presents cases at interdisciplinary case conferences
Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Required Qualifications
- Minimum 3 years of clinical practice experience
- Must have active and unrestricted RN licensure in the state of NJ
- Willing and able to travel 2550 of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy. The protection and security of our colleagues is paramount. CVS Health encourages its nurses to meet with members in a public place if they feel that is more appropriate. If needed security escort is also available.
- Must reside in/around Mercer County New Jersey within 50 miles of Mercer County radius
Preferred Qualifications:
- Certified Case Manager
- Minimum 2 years Care Management Discharge Planning and/or Home Health Care Coordination experience
- Confidence working at home/independent thinker using tools to collaborate and connect with teams virtually
- Excellent analytical and problemsolving skills
- Effective communications organizational and interpersonal skills
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications including MS Word Excel Outlook and PowerPoint as well as some special proprietary applications
- Bilingual preferred
Education:
- Associates Degree required
- Bachelors Degree in Nursing preferred
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
