Transition of Care Associate, Licensed Practical Nurse, CVS Health

CVS Health

Location:
United States, Remote

Category:
Nursing

Contract Type:
Employment contract

Salary:

24.64 - 58.40 USD / Hour

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Job Description:

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

Job Responsibility:

Complete post-discharge questionnaire
Ensure member has filled/received medication(s) and understands how to take ordered medications
Benefit education
Monitor members in low CM level for alerts or changes in condition
Complete post discharge call and required assessments (RAP)
Complete inpatient confinement calls and monitoring for discharge
Management of warm transfers from concierge and engagement hub
Provides clinical assistance to determine appropriate services and supports
Evaluation of health and social indicators
Identifies and engages barriers to achieving optimal member health
Facilitates overall care coordination with the care team
Coordinates post-discharge meal delivery, assists with securing DME, and helps ensure timely physician follow-up
Understands Payer/Plan benefits, policies, procedures
Responsible for completing outreach cadence calls and post-discharge questionnaires
Utilizes weekly and daily reporting to identify utilization
Follows members identified as inpatient in hospitals
Facilitates Interdisciplinary Care Team Meetings

Requirements:

1 year of advanced proficiency in Microsoft Word, Excel, and Outlook
Active and unrestricted Licensed Practical Nurse (LPN) in MA and NJ
Hospice/palliative care experience
High School Diploma or equivalent GED plus Licensed Practical Nurse

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 (English/Spanish)
Home Health 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 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:
October 03, 2025

Expiration:
October 10, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Transition of Care Associate, Licensed Practical Nurse