Registered Nurse, Integrated Care Manager, CVS Health

CVS Health

Location:
United States

Category:
Nursing

Contract Type:
Employment contract

Salary:

60522.00 - 129615.00 USD / Year

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Job Description:

This position coordinates care for Oak Street Health members, collaborating with interdisciplinary care teams to support patients' health and well-being. Responsibilities include creating care plans, conducting assessments, maintaining patient records, and ensuring compliance with regulatory requirements while working remotely. Oak Street Health aims to transform healthcare through its innovative care model focused on older adults on Medicare.

Job Responsibility:

Manage an assigned caseload of members while remaining in compliance with all internal and regulatory requirements
Create and nurture relationships with all assigned members working towards their optimal overall health and well-being
Be the system navigator and point of contact, in collaboration with administrative support, for members and families
Conduct complete, timely, and accurate program specific assessments
Develop and maintain a person-centered care plan or family driven care plan for all members in assigned caseload involving the member's PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other specialists, as needed to evaluate the individual's needs, goals, and plan of action
Complete all activities and interventions outlined in the members care plan and ongoing monitoring of cases to ensure routine follow up and progression in their care plan goals
Document visits in electronic health record according to standards set forth in delegation contracts
Schedule and maintain interdisciplinary care team (ICT) meetings and facilitate associated activities with members and their identified support team
Maintain HIPAA standards and confidentiality of protected health information

Requirements:

Current RN License in good standing in the state of practice required
Minimum of three (3) years clinical experience, HMO /Managed Care setting preferred
Care Coordination / Case Management training
Knowledge of community resources in assigned service area
Knowledge of clinical standards of care preferred
Knowledge of Medicaid/Medicare contracts and benefit systems is preferred
Demonstrated customer-focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary care team, community agencies, members, and families
Ability to work autonomously, follow through with delegated tasks and be directly accountable for deliverables
Outstanding verbal and written communication skills
Ability to work independently and maintain flexibility in a fast-paced, start-up environment
A high-level of accountability and responsibility for the outcome of care
Strong presentation and facilitation skills
Ability to affect change, work as a productive and effective team member, and adapt to changing needs and priorities
Excellent organizational skills and ability to manage multiple priorities appropriately
Independent problem-solving skills
A flexible, positive attitude
Experience working with Inner City, Suburban, and Rural neighborhood members
Access to reliable transportation - able to travel daily
Working knowledge of Microsoft Office Product Suite
Working knowledge of Google Suite
Familiar with variety of Electronic Medical Records platforms preferred
US work authorization

Nice to have:

Knowledge of clinical standards of care
Knowledge of Medicaid/Medicare contracts and benefit systems
Familiar with variety of Electronic Medical Records platforms

What we offer:

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options
No-cost programs for 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

Additional Information:

Job Posted:
May 13, 2025

Expiration:
November 01, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Registered Nurse, Integrated Care Manager