Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Roanoke

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

60522.00 - 129615.00 USD / Year

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Job Description:

Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long- term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Job Responsibility:

Assessing, planning, implementing and coordinating all case management activities with members to evaluate medical needs
Developing proactive courses of action to address issues and enhance wellness
Conducting evaluations of member needs and benefit plan eligibility
Facilitating integrative functions and transitions to Aetna programs
Applying clinical judgment to reduce risk factors and barriers
Addressing complex health and social indicators impacting care planning
Consulting with supervisor and others in overcoming barriers
Presenting cases at case conferences for multidisciplinary focus
Utilizing case management tools and processes in compliance with policies and procedures
Interviewing members to discern health status and needs

Requirements:

LPN/RN with current unrestricted Virginia state licensure required
3 years clinical experience (med surg, behavioral health)
2+ years Managed Care experience
Must reside in Roanoke, Rocky Mount, & Surrounding areas
Must possess reliable transportation and be willing and able to travel up to 75% of the time to meet with members face to face
Valid Driver's License

Nice to have:

Case Management in an integrated model preferred
Bilingual preferred
5 years clinical practice experience
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Proficiency with computer skills including navigating multiple systems and keyboarding
Effective communication skills, both verbal and written

What we offer:

Affordable medical plan options
401(k) plan including matching company contributions
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and 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 30, 2025

Expiration:
October 06, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Case Manager Registered Nurse