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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.
Job Responsibility
Supervise RN-CMs in assigned markets, including clinical oversight of daily operations and metrics
Performance management: Provide guidance and oversight to the RN-CM team, including evaluating team performance
Collaboration and communication with internal stakeholders: effectively communicate across leaders and multi-disciplinary teams
Tracking, reporting and training: Monitor and evaluate care management activities for impact and quality through chart audits, call listening, and reports
Hire and train RN Care Managers in assigned regions
Assist with the implementation of new care management activities and programming
Provide feedback to Care Management leaders regarding team performance and process improvements
Provide support for process and quality improvement to RN-CMs through constructive feedback, coaching, and formal evaluations
Create an engaging culture that inspires commitment and encourages excellence and strives for equity and inclusion
Monitor OSH program related data including patient medical cost, admissions, appointment completion and health outcomes
Remain knowledgeable of industry standards and state regulations, and monitor and review best practices as necessary
Requirements
Bachelor’s in Nursing strongly preferred
Active RN license within one or more OSH states
Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
Willingness to obtain cross-state licensure, as needed
2+ years direct supervisory experience required
4+ years in care management, case management, and/or transitional care, strongly preferred
Proficient with Microsoft Office, Google Suite, and healthcare EMRs
Knowledge of Medicare/Medicaid and NCQA requirements
Strong clinical and assessment skills
Outstanding verbal and written communication skills
Ability to work independently and maintain flexibility in a fast-paced, start-up environment
Self-starter with a high level of accountability and responsibility for the outcome of care
Highly organized and able to manage multiple priorities appropriately
Independent problem-solving skills
Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team
A flexible, positive attitude
Valid driver's license and ability to travel frequently
US work authorization
What we offer
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement