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Case Manager, Registered Nurse - Fully Remote

Posted 1 week ago
Healthcare
Full Time
USA
$54,095.00 - $155,538.00/year

Overview

This position is for a fully remote Case Manager role at CVS Health, focusing on telephonic case management for patients and ensuring appropriate administration of benefits.

In Short

  • Work remotely from anywhere in the US.
  • Engage with patients and their care teams.
  • Utilize clinical judgment for care planning.
  • Document electronically using a keyboard.
  • Apply motivational interviewing skills.
  • Conduct medical necessity reviews.
  • Collaborate with multidisciplinary teams.
  • Handle complex health and social indicators.
  • Requires a Registered Nurse license.
  • Full-time position with a 40-hour work week.

Requirements

  • 5+ years of experience as a Registered Nurse.
  • 1+ years in a hospital setting.
  • Experience in Oncology, Transplant, or similar fields.
  • 1+ years in Case Management preferred.
  • CCM or other URAC accreditation preferred.
  • Bilingual in Spanish preferred.
  • Diploma or Associates Degree in Nursing required.
  • BSN preferred.

Benefits

  • Competitive salary range.
  • 401(k) plan with company matching.
  • Employee stock purchase plan.
  • Comprehensive medical plan options.
  • No-cost wellness programs.
  • Flexible work schedules.
  • Tuition assistance.
  • Paid time off and family leave.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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