We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
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Assessment of Members: Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.
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Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health.
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Partners with members to identify opportunities for integration into available internal/external programs.
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Using a holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives.
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Utilizing interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices.
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Interprets and utilizes guidelines/criteria to positively impact members' health.
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Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status.
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Helps member actively and knowledgably participate with their provider in healthcare decisions.
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Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.
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Develops a proactive course of action to address issues presented to enhance the short- and long-term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.
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Residence within the Eastern or Central Time Zone.
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3-5 years of clinical or practice experience in one or more of the following areas: Renal, Diabetes, Hypertension, Primary Care, Geriatrics, or Oncology.
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Experience supporting Managed Care and Medicare populations.
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1-3 years of experience using Microsoft Office applications.
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Reliable hardwired internet connection.
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Active healthcare licensure or certification such as RN, LPN, MSW, LCSW, or CDE are highly preferred.
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5 years of clinical or practice experience in Renal, Diabetes, Hypertension, Primary Care, Geriatrics, or Oncology.
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Experience with telephonic coaching, patient education, or case management.
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Strong computer proficiency, including Microsoft Office.
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Ability to work independently with strong time management and organizational skills.
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Excellent analytical, problem solving, and critical thinking abilities.
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Strong communication and interpersonal skills with the ability to build rapport and navigate complex situations; bilingual skills are a plus.
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Demonstrated ability to support positive behavioral change using effective communication techniques.
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Experience with motivational interviewing and active listening.
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Associates Degree or equivalent experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 – $102,000.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/19/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Additional Information
Company: CVS Health
Location: Pennsylvania, Indiana, Ohio, Virginia, West Virginia, Kentucky
Salary: $46,988.00 – $102,000.00 per year
Job ID: R0934128
Specialties: Managed Care, Telephonic Nurse, Oncology, Geriatric Nurse, Diabetes, Primary Care
Required Licenses: RN, LPN/LVN
Experience Level: 1-3 years




