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Case Manager Registered Nurse

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Frankfort

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Category:
Nursing

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Contract Type:
Employment contract

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Salary:

54095.00 - 116760.00 USD / Year

Job Description:

The Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes.

Job Responsibility:

  • Driving and supporting care management and care coordination activities across the continuum of care
  • Telephonic and/or face to face assessment, planning, implementing and coordinating care management activities
  • Available to travel up to 50% for in-person visits at hospitals within the Louisville area
  • Develops a proactive course of action to address issues presented
  • Conducts comprehensive assessments of member's needs
  • Applies clinical judgment to incorporate strategies designed to reduce risk factors
  • Performs crisis intervention with members experiencing a behavioral health or medical crisis
  • Provides crisis follow up to members
  • Serves as a single point of contact for members
  • Provides coaching, information and support to empower the member
  • Develops and monitors established plans of care
  • Facilitates clinical hand offs during transitions of care

Requirements:

  • Minimum of Associates Degree or Diploma of Nursing required
  • 3 years of NICU and/or HROB Clinical Experience in a hospital setting
  • 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications
  • and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)

Nice to have:

  • BSN preferred
  • Case management in an integrated model preferred
  • Managed care experience preferred
  • Discharge planning experience preferred
  • Experience providing care to the Medicaid population 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

Additional Information:

Job Posted:
September 22, 2025

Expiration:
September 30, 2025

Employment Type:
Fulltime
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