Remote Hybrid Case Manager RN- Field II, LA

CVS Health

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Job ID: 2385816BR
Category: Nurse
Remote: Fully Remote

Job Description
Working hours will be Monday -Friday 8am-5pm. No weekends or holidays will be required.

Up to 75% travel. Candidates will travel within their regions (no overnight travel).

Candidates must live in regions 1 (Plaquemines, St. Bernard, Jefferson, Orelans), 3 (St. Mary, Assumption, St. James, St. John, and St. Chalres), 4 (Vermillion, Iberia, St. Martin, Lafyette, St Landry, Acadia, Evangeline) and 5 (Beaugard, Allen, Calcasieu, Jefferson Davis, Cameron) in Louisiana to be considered for this position.

Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality
management, network management, clinical coverage and policies. The position requires advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager
will be responsible for, care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing and communication skills are required.
Fundamental Components/Job Description:
The Clinical Case Manager RN is responsible for conducting face to face visits using comprehensive assessments of members. The care manager is responsible to coordinate and collaborate care with member/authorized representative, PCP, and any other care team
participant. The care manager will attend interdisciplinary meetings and advocate on members behalf. The care manager works with member and care team to develop care plan and will authorize services within the MLTSS benefit. The care manager will also work
with the member and care team to coordinate and assist with community resources. The care manager is responsible for documenting accurately and timely in the electronic health record. This position requires the care manager to use critical thinking and be
able to problem solve any issues related to assigned membership.

Pay Range
The typical pay range for this role is:
Minimum: 58,760
Maximum: 125,840

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit

Required Qualifications
-2 + years experience in physical health or behavioral health.
-Active and Unrestricted registered nursing licensure in Nursing In Louisiana or behavioral health is required
-Must be comfortable with up to75% field-based travel and residing in regions 1 (Plaquemines, St. Bernard, Jefferson, Orelans), 3 (St. Mary, Assumption, St. James, St. John, and St. Chalres), 4 (Vermillion, Iberia, St. Martin, Lafyette, St Landry, Acadia, Evangeline) and 5 (Beaugard, Allen, Calcasieu, Jefferson Davis, Cameron)

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
-Managed Care experience preferred
– Case management and/or discharge planning experience preferred
– Spanish speaking preferred

Minimum of Associate’s Degree in Nursing

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.