CrawlJobs Logo

Associate Manager, RN Care Management

https://www.cvshealth.com/ Logo

CVS Health

Location Icon

Location:
United States , Chicago

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

88374.00 - 190344.00 USD / Year
Save Job
Save Icon
Job offer has expired

Job Description:

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
  • Collaboration and communication with internal stakeholders
  • Tracking, reporting and training: Monitor and evaluate care management activities
  • 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
  • Create an engaging culture that inspires commitment and encourages excellence and strives for equity and inclusion
  • Monitor OSH program related data
  • Remain knowledgeable of industry standards and state regulations
  • Other duties as assigned

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

Nice to have:

Someone who embodies being “Oaky”

What we offer:
  • Mission-focused career
  • 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
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
  • No-cost 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

Additional Information:

Job Posted:
March 04, 2026

Expiration:
April 30, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
PREMIUM
More languages and countries
+ Unlock 29494 hidden job offers
Languages
English Čeština Deutsch Ελληνικά Español Français +15
Countries
United States United Kingdom India Canada Australia +
See plans
Plans from $2.99 / month

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Associate Manager, RN Care Management

Clinical Manager Hospice RN

Are you looking for a rewarding career in hospice? If so, we invite you to join ...
Location
Location
United States , Toms River
Salary
Salary:
115000.00 - 120000.00 USD / Year
amedisys.com Logo
Amedisys
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate or bachelors degree in nursing
  • One year of clinical RN experience in home health or hospice
  • One year of RN management experience
  • Current RN license, specific to the state(s) you are assigned to work
  • Current CPR certification
Job Responsibility
Job Responsibility
  • Supports, participates and works cooperatively with the director of staffing
  • Responsible for overall quality of patient care and clinical performance of nurses and aides
  • Organizes clinical operations for the care center
  • Reviews requests for services and determines patient eligibility/suitability for home care services
  • Works with intake in coordinating patient referrals and admissions
  • Oversees scheduling
  • Oversees payor verification and precertification requirements
  • Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved
  • Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC)
  • Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians
What we offer
What we offer
  • A full benefits package with choice of affordable PPO or HSA medical plans
  • Paid time off
  • Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan
  • Up to $500 in wellness rewards for completing activities during the year
  • Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program
  • 401(k) with a company match
  • Family support with infertility treatment coverage, adoption reimbursement, paid parental and family caregiver leave
  • Fleet vehicle program (restrictions apply) and mileage reimbursement
  • Fulltime
Read More
Arrow Right

RN Clinical Coordinator Intermediate Care

RN Clinical Coordinators may be eligible for a relocation bonus up to $8,000. Em...
Location
Location
United States , Colorado Springs
Salary
Salary:
37.31 - 59.51 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associates Degree in Nursing (Nursing Diploma or by endorsement) required
  • RN License to practice in state of employment as applicable, required
  • Minimum of 1 year of direct clinical experience as a Registered Nurse
  • Physical Requirements: Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)
Job Responsibility
Job Responsibility
  • Actively support the department director/manager by coordinating clinical and department activities for the unit
  • Serve as a clinical nurse and resource to the staff, authorize work procedures and assign duties, shift charge
  • Demonstrating strong clinical judgment and ensuring high-quality care delivery to each patient
  • Acting as a vital link between physicians and the patient care team to facilitate seamless communication and collaboration
  • Maintaining communication and promote cooperation with unit staff and other departments
  • Provides input and recommendations to the director/manager on coaching, mentoring and performance management of associates
  • Assumes responsibility and accountability for facilitating, communicating, and collaborating with both the healthcare team, and the patient/family to identify and meet the physical, emotional, and spiritual needs of the patient
  • Act as a professional role model for all staff by demonstrating ethical/legal/professional nursing
  • Promotes the optimal health, well-being, and safety of the patient through use of the nursing process and in accordance with patient care standards, guidelines, and the State Nurse Practice Act
  • Actively serves on unit as a registered nurse and may take patient assignments based on unit and patient needs and acuity
What we offer
What we offer
  • Relocation bonus up to $8,000
  • health/dental/vision, FSA, matching retirement plans, paid time off, tuition assistance, adoption assistance
  • Fulltime
Read More
Arrow Right

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...
Location
Location
United States , Los Angeles
Salary
Salary:
88854.00 - 142166.00 USD / Year
lacare.org Logo
L.A. Care Health Plan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
  • Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
  • Experience providing care management with complex/catastrophic conditions
  • Current knowledge of clinical standards of care and disease processes
  • Critical thinking skill
  • Excellent customer service skills
  • Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
  • Ability to triage immediate member health and safety risks
  • Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
  • Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders
Job Responsibility
Job Responsibility
  • Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
  • Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
  • Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
  • Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
  • Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
  • Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
  • Uses claims processing and care management software to look up member information, document contacts, and track member progress
  • Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
  • Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
  • reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
What we offer
What we offer
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
  • Fulltime
Read More
Arrow Right
New

Care Management Specialist II

Established in 1997, L.A. Care Health Plan is an independent public agency creat...
Location
Location
United States , Los Angeles
Salary
Salary:
88854.00 - 142166.00 USD / Year
lacare.org Logo
L.A. Care Health Plan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's Degree in Nursing for Registered Nurses
  • Master's Degree in Social Work for Licensed Clinical Social Workers
  • Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
  • Experience providing care management with complex/catastrophic conditions
  • Current knowledge of clinical standards of care and disease processes
  • Critical thinking skill
  • Excellent customer service skills
  • Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
  • Ability to triage immediate member health and safety risks
  • Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Job Responsibility
Job Responsibility
  • Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
  • Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
  • reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
  • contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits
  • conducting comprehensive clinical assessments as indicated
  • developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence)
  • Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies
  • Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions
  • Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
  • Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes
What we offer
What we offer
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
  • Fulltime
Read More
Arrow Right

Associate Manager - Registered Nurse, Care Management

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Harrisburg
Salary
Salary:
80340.00 - 173040.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
June 30, 2026
Flip Icon
Requirements
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
Job Responsibility
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
What we offer
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
  • Fulltime
Read More
Arrow Right

RN Care Manager - Bilingual Bengali, Cantonese or Mandarin Required

The challenges of affordable healthcare continue to create new opportunities. El...
Location
Location
United States , New York
Salary
Salary:
90000.00 - 110000.00 USD / Year
mjhs.org Logo
MJHS
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate’s Degree in Nursing for experienced candidates
  • BSN for new graduates
  • NYS RN license required
  • CCM preferred
  • 1 year of RN experience in managed care, home care, acute care or nursing home preferred
Job Responsibility
Job Responsibility
  • Reporting to the Supervisor of Care Management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs
What we offer
What we offer
  • $15,000 Sign-On Bonus or Student Loan Assistance
  • FREE Online RN to BSN and MSN degree programs
  • Tuition Reimbursement for all full and part-time staff
  • Dependent Tuition Reimbursement for clinical staff
  • Generous paid time off, including your birthday
  • Affordable and comprehensive medical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • Fulltime
Read More
Arrow Right

Assistant Nurse Manager

Baptist Health is looking for a Assistant Nurse Manager (RN) to join our Med/Sur...
Location
Location
United States , Fernandina Beach
Salary
Salary:
Not provided
baptistjax.com Logo
Baptist Health (Florida)
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's Degree - Nursing
  • 3-5 Years Medical Surgical Nursing Experience
  • Basic Life Support (BLS) Required
  • Advanced Cardiac Life Support (ACLS) Required
  • Licensed Registered Nurse Required
Job Responsibility
Job Responsibility
  • Assists the Nurse Manager of the Med/Surg with unit/area operations
  • Works closely with direct care personnel to ensure delivery of quality patient care
  • Facilitates patient throughput
  • Takes lead role in implementing changes
  • Supports and coaches unit personnel in development
  • Takes a direct patient care assignment as needed
  • Staffing and scheduling of unit personnel
  • Fulltime
Read More
Arrow Right

Case Manager - Registered Nurse

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Work at Home
Salary
Salary:
54095.00 - 116760.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
  • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Care Manager – Registered Nurse (CM RN) role
  • Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
  • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted
  • Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
  • 3+ years of nursing experience
  • 2+ years of case management, discharge planning and/or home healthcare coordination experience
  • Associate’s of Science in Nursing (ASN) Degree and relevant experience in a health care-related field (REQUIRED)
  • Active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
Job Responsibility
Job Responsibility
  • Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs
  • Provides evidence-based disease management education and support to help the member achieve health goals
  • Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care
  • Provides care coordination to support a seamless health care experience for the member
  • Meticulous documentation of care management activity in the member’s electronic health record
  • Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition
  • Identifies and connects members with health plan benefits and community resources
  • Meets regulatory requirements within specified timelines
  • The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed
  • Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members
What we offer
What we offer
  • Medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • CVS Health bonus, commission or short-term incentive program
  • Fulltime
Read More
Arrow Right