Case Manager, Registered Nurse - Field, CVS Health

CVS Health

Location:
United States, Phoenix

Category:
Nursing

Contract Type:
Employment contract

Salary:

60522.00 - 129615.00 USD / Year

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Job Description:

Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.

Job Responsibility:

Facilitate the delivery of appropriate benefits and/or healthcare information
Develops, implements, and supports Health Strategies, tactics, policies, and programs
Use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy
Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients
Interacts with members/clients telephonically or in person
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
Communicates with member/client and other stakeholders
Prepares all required documentation of case work activities
Interacts and consults with internal multidisciplinary team
May make outreach to treating physician or specialists concerning course of care
Provides educational and prevention information
Applies all laws and regulations that apply to the provision of rehabilitation services
Testifies as required to substantiate any relevant case work
Conducts an evaluation of members/clients' needs and benefit plan eligibility
Utilizes case management processes in compliance with regulatory and company policies
Facilitates appropriate condition management
Develops a proactive course of action to address issues
Monitors member/client progress toward desired outcomes

Requirements:

Active and unrestricted RN license in AZ
Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
Minimum 2+ years CM, discharge planning and/or home health care coordination experience
Registered Nurse with active state license in good standing within the region where job duties are performed
Ability to occasionally travel within a designated geographic area for in-person case management activities
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently (may require working from home)
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint
Efficient and Effective computer skills including navigating multiple systems and keyboarding
Willing and able to obtain multi state RN licenses if needed

Nice to have:

Bachelor's degree preferred
Certified Case Manager is preferred
Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 12, 2025

Expiration:
September 26, 2025

Employment Type:

Fulltime

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Case Manager, Registered Nurse - Field