Experienced Care Manager RN - Telecommuter Opportunity with CVS Health in Oklahoma

Join CVS Health and Make a Difference in Healthcare

At CVS Health, we're driven by a singular purpose: Carrying our heart to each moment of your health. As a leading healthcare organization, we're committed to delivering improved, human-driven healthcare services that are more personal, convenient, and affordable. Our Heart At Work Behaviors guide our actions, empowering every individual to play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions.

About the Role: Care Manager RN

We're seeking an experienced Care Manager RN to join our team in Oklahoma as a full-time field-based telecommuter. As a Care Manager RN, you'll be responsible for driving and supporting care management and care coordination activities across the continuum of care. This is an exciting opportunity to make a meaningful impact on the lives of our members and contribute to the success of our organization.

Key Responsibilities:

• Conduct telephonic and/or in-person assessments, planning, execution, and coordination of all care management activities with members to evaluate their clinical and behavioral health needs.
• Develop proactive plans to address issues and opportunities to enhance member outcomes and overall well-being.
• Utilize clinical devices and data/information review to conduct comprehensive assessments and determine the approach to case resolution.
• Apply clinical judgment to integrate strategies aimed at reducing risk factors and addressing complex health and social determinants that impact care planning.
• Perform crisis intervention with members experiencing a social health or clinical crisis and refer them to appropriate clinical providers.
• Provide crisis follow-up to ensure members receive suitable treatment/services.
• Collaborate with interdisciplinary care teams to achieve optimal outcomes.
• Identify and escalate quality of care issues through established channels.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement and recognize their health status and needs.
• Provide education, information, and support to empower members to make informed clinical and lifestyle decisions.

Essential Qualifications:

• Current unencumbered Oklahoma state licensure as an RN.
• 3+ years of clinical practice experience (e.g., hospital setting or alternative care setting).
• Completion of Social Health Caseworker certification training provided through the Department of Mental Health and Substance Abuse Services within six months of hire date.
• 2+ years of experience using PC, keyboard navigation, navigating multiple systems and applications, and utilizing MS Office Suite applications.
• Ability to travel in-state up to 30% of the time, with mileage reimbursement per company policy.
• Willingness to provide on-call CM coverage for evenings and weekends on a rotational schedule as required by the State regulatory agency.

Preferred Qualifications:

• Experience caring for Native American/American Indian/Alaskan Native populations.
• Case management in an integrated model preferred.
• Managed care/utilization review experience preferred.
• Discharge planning experience preferred.
• BSN degree preferred.

What We Offer:

At CVS Health, we're committed to providing a competitive salary and benefits package that recognizes your skills and experience. As a Care Manager RN, you'll have the opportunity to grow and develop your career within a dynamic and supportive organization. You'll also be part of a team that's dedicated to making a positive impact on the lives of our members and the communities we serve.

Work Environment and Culture:

As a field-based telecommuter, you'll have the flexibility to work from home while still being connected to our team and organization. We're committed to fostering a culture that values diversity, inclusion, and collaboration, and we're proud to be an equal opportunity employer.

Career Growth and Development:

At CVS Health, we're dedicated to helping our employees grow and develop their careers. As a Care Manager RN, you'll have access to ongoing training and development opportunities, as well as the chance to take on new challenges and responsibilities.

Compensation and Benefits:

We offer a competitive salary range of $25-$40/hour, depending on experience. Our benefits package includes a range of programs and services designed to support your overall well-being, including medical, dental, and vision coverage, as well as opportunities for professional growth and development.

Take the Next Step:

Are you ready to join our team and make a meaningful difference in the lives of our members? If you're a compassionate and dedicated Care Manager RN looking for a new challenge, we encourage you to apply now. Let's discuss how you can become a vital part of our success story.