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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:
Assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings
Establishing a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers
Monitoring and evaluating the effectiveness of the care plans and adjust the care plan based on clinical judgement and member needs
Coordinating and collaborating with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery
Taking an interdisciplinary approach to advocate for member’s needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs
Accurate and timely documentation in the member’s electronic health record
Mentoring new hires once proficient in the role
Requirements:
Must reside in the State of New Jersey
3+ years’ work experience in pediatric, Special Needs and/or Adult Population
BSN RN with current unrestricted state licensure in the State of New Jersey
Computer literacy and demonstrated proficiency to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel
Highly organized, flexible, and ability to be adaptable and embrace change in a fast-paced environment
Ability to critically think and navigate challenging situations
Ability to prioritize competing priorities and meet deadlines
Self-motivated and dependable
Positive, forward-thinking mindset
Exceptional communication skills, both verbally and in writing
Must possess reliable transportation and be willing and able to travel up to 75% of the time
Requires Face to Face visits in various settings including, but not limited to in homes, hospitals, provider settings, etc.
Nice to have:
Case Management experience in an integrated model
Bilingual
Working knowledge of medical terminology
Working knowledge of digital literacy skills
Ability to deal tactfully with customers and community
Ability to handle sensitive information ethically and responsibly
CCM (Certified Case Manager)
Remote work experience
What we offer:
$3000 New Hire Bonus
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching