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Field Case Manager, Registered Nurse

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Danville, Wilkes-Barre, and Scranton, Pennsylvania

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Category:
Nursing

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Contract Type:
Employment contract

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Salary:

60522.00 - 129615.00 USD / Year

Job Description:

Community Care Case Manager's use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.

Job Responsibility:

  • Facilitate the delivery of appropriate benefits and/or healthcare information
  • Develops, implements, and supports Health Strategies, tactics, policies, and programs
  • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
  • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients
  • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
  • Communicates with member/client and other stakeholders
  • Prepares all required documentation of case work activities
  • Interacts and consults with internal multidisciplinary team
  • Provides educational and prevention information for best medical outcomes

Requirements:

  • Active and unrestricted PA RN licensure
  • 3 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
  • 2 years Case Management, discharge planning, and/or home health care coordination experience
  • Must be willing to travel 55-75% within designated areas
  • Associates degree or Nursing Diploma Required

Nice to have:

  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills
  • Ability to work independently (may require working from home)
  • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
  • Efficient and Effective computer skills including navigating multiple systems and keyboarding
  • Certified Case Manager is preferred
  • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred
  • Bachelor of Science in Nursing (BSN)
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • 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:
August 27, 2025

Expiration:
August 29, 2025

Employment Type:
Fulltime
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