Case Manager RN - Field (Cincinnati, OH) - Unlock Your Potential with CVS Health

Join our team of dedicated healthcare professionals and make a meaningful difference in the lives of our members. As a Case Manager RN - Field, you will play a vital role in assessing, planning, and coordinating comprehensive care for our members, driving exceptional health outcomes and enhancing their overall wellness. This field-based position offers a unique opportunity to work in a dynamic and supportive environment, with a competitive salary and comprehensive benefits package.

At CVS Health, we are committed to delivering human-centric healthcare and making a positive impact on our communities. Our Heart At Work Behaviors guide our purpose and empower our colleagues to transform our culture and accelerate innovation. As a Case Manager RN - Field, you will be an integral part of our team, working collaboratively to address complex health and social indicators, reduce risk factors, and improve member engagement.

Position Summary

In this field-based role, you will travel at least 25% of the time to various facilities, including acute care facilities, nursing homes, and rehab centers, to assess and coordinate care for our members. You will utilize clinical tools, information, and data review to evaluate member needs, develop proactive plans, and facilitate integrative functions to enhance short and long-term outcomes.

Responsibilities

• Conduct comprehensive assessments of member needs, incorporating clinical judgment and strategies to reduce risk factors and barriers.
• Develop and implement individualized care plans, addressing complex health and social indicators, and facilitating smooth transitions to Aetna programs and plans.
• Collaborate with multidisciplinary teams, including supervisors, clinicians, and other stakeholders, to overcome barriers and achieve optimal outcomes.
• Utilize case management processes, regulatory and company policies, and procedures to ensure compliance and excellence in care delivery.
• Engage members through effective interviewing skills, ensuring maximum participation and understanding of their health status and needs.

Required Qualifications

• Minimum 3+ years of clinical practical experience.
• Minimum 2+ years of case management, discharge planning, and/or home health care coordination experience.
• Active and unrestricted Compact RN license in OH.
• Willingness to travel 25% within Cincinnati, OH.

Preferred Qualifications

• Excellent analytical and problem-solving skills.
• Effective communication, organizational, and interpersonal skills.
• Ability to work independently, with proficiency in standard corporate software applications and special proprietary systems.
• Bilingual proficiency (Spanish) and certification as a Case Manager (CCM) or other relevant national professional certifications.

Education

• Associate's degree or Nursing Diploma required.
• Bachelor's degree preferred.

Pay Range

The typical pay range for this role is $54,095.60 - $116,760.80, depending on experience, education, and geography. This position is eligible for a CVS Health bonus, commission, or short-term incentive program, in addition to a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan.

How to Apply

If you are a motivated and compassionate healthcare professional, ready to make a difference in the lives of our members, we encourage you to apply now. Please submit your application, including your resume and cover letter, to be considered for this exciting opportunity.