Licensed Practical Nurse, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
Nursing

Contract Type:
Employment contract

Salary:

22.40 - 48.67 USD / Hour

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Job Description:

Transition of Care Coach responsible for care coordination of members experiencing significant changes in health status resulting from emergency department visits, inpatient, skilled nursing, or rehabilitative stays. Works under direction of Registered/Licensed RN to ensure seamless transitions to next care settings and facilitates post-discharge goal attainment.

Job Responsibility:

Complete post-discharge questionnaire
Ensures the member has filled/received their medication(s) and has an understanding on how to take their ordered medications
Benefit education
Monitor members in low CM level for alerts or changes in condition to be transitioned back to RN
Complete post discharge call and required assessments (RAP), medication reconciliation (if within scope of practice), fall assessment if fall risk identified
Complete inpatient confinement calls and monitoring for discharge
Management of warm transfers form concierge and engagement hub
Provides clinical assistance to determine appropriate services and supports due to member's health needs
Evaluation of health and social indicators
Identifies and engages barriers to achieving optimal member health
Uses discretion to apply strategies to reduce member risk
Facilitates overall care coordination with the care team to ensure member achieves optimal wellness
Coordinates post-discharge meal delivery, assists with securing DME, and helps to ensure timely physician follow-up
Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel
Responsible for completing outreach cadence calls and post-discharge questionnaires within required compliance driven timelines
Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and 30-day hospital readmissions
Follows members identified as inpatient in hospitals and then throughout the subsequent care continuum until member can return to prior level of functioning in the community
Facilitates Interdisciplinary Care Team Meetings with Social Services, Care Management, PCP and other key players to discuss service needs and support safe transitions

Requirements:

1 year of advanced proficiency in Microsoft Word, Excel, and Outlook
Active and unrestricted Licensed Practical Nurse (LPN) licensure in Delaware
High School Diploma or Equivalent GED

Nice to have:

Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment while providing outstanding care
Effective verbal and written communication skills
Bilingual a plus (Spanish)
Home Health experience
Hospice/palliative care experience
Associate's Degree and/or Bachelor's Degree

What we offer:

Affordable medical plan options
401(k) plan with 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 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Licensed Practical Nurse