Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Charleston

Category:
Nursing

Contract Type:
Employment contract

Salary:

54095.00 - 116760.00 USD / Year

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Job Description:

Field-based Case Manager Registered Nurse position responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate medical needs and facilitate overall wellness through integrated care approaches.

Job Responsibility:

Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members
Evaluating the medical needs of members to facilitate overall wellness
Developing proactive course of action to address issues
Enhancing short and long-term outcomes
Community-based work with some onsite presence at Department of Health and Human Resources (DHHR) offices
Conducting face to face member visits
Using clinical tools and information/data review to evaluate member's needs
Applying clinical judgment to incorporate strategies designed to reduce risk factors
Assessing information from various sources to address all conditions
Consulting with supervisor and others in overcoming barriers
Utilizing case management processes in compliance with regulatory requirements

Requirements:

Registered Nurse with current unrestricted West Virginia (WV) license or Registered Nurse with current unrestricted WV or multi-state privilege license
5+ years clinical practice experience
2+ years experience with personal computer, keyboard, mouse, multi-system navigation
and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams)
Must possess reliable transportation and be willing and able to travel in the assigned region 50% or more of the time

Nice to have:

Behavioral Health experience
Medicaid experience
Waiver experience
Foster care experience
Crisis intervention skills
Managed care/utilization review experience
Certified Case Manager (CCM) certification
Case management experience in an integrated model
Case management and discharge planning experience
Familiarity with QuickBase
BSN degree 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 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
Mileage reimbursement for travel

Additional Information:

Job Posted:
September 01, 2025

Expiration:
September 30, 2025

Employment Type:

Fulltime

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Case Manager Registered Nurse