Complex Nurse Field Case Manager, CVS Health

CVS Health

Location:
United States, Jefferson County, Kentucky

Category:
Nursing

Contract Type:
Employment contract

Salary:

54095.00 - 116760.00 USD / Year

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Job Description:

The Complex Nurse Case Manager is responsible for assessing members and coordinating all case management activities to facilitate improved health outcomes. This includes evaluating medical and psychosocial needs, creating and revising care plans, and addressing complex health and social indicators. The role involves significant travel in the Jefferson Region and requires flexibility to work beyond standard hours.

Job Responsibility:

Assessing members through regular and consistent in person or telephonic contact
Planning, implementing and coordinating all case management activities
Evaluating the medical and psychosocial needs of the member
Facilitating and supporting the member’s improved health
Addressing issues to enhance short and long-term outcomes and opportunities to enhance a member’s wellness
Conducting comprehensive and holistic evaluations of members’ needs
Monitoring and revising member care plans to address biopsychosocial care needs
Consulting with supervisor and care partners to overcome barriers in meeting goals
Utilizing case management processes in compliance with regulatory and company policies and procedures
Motivating members to actively participate in healthcare decision-making.

Requirements:

Current unrestricted RN licensure in KY
3+ years’ clinical practice experience as RN
Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm
Willing and able to travel for face-to-face visits with members 80-90% of their time in Jefferson Region
Must have valid KY driver's license, proof of vehicle insurance, and reliable transportation.

Nice to have:

Experience or detailed knowledge of the Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations
Pediatric experience
Case Management experience in an integrated model
Bilingual
Computer literacy and demonstrated proficiency to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel
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
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:
May 14, 2025

Expiration:
July 01, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Complex Nurse Field Case Manager