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Telephonic Case Manager RN

Company: CVS Health
Location: Downers Grove
Posted on: May 3, 2021

Job Description:

Job Description

Position is open to telework for any candidates that has a licensure in IL!

  • Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and

coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.

  • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
  • Services strategies policies and programs are comprised of network management and clinical coverage policies.
  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
  • Effective communication skills, both verbal and written.
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Position may require direct contact with members away from the office in various settings.
  • Work may be sedentary at times involving periods of sitting for extended periods, talking on the telephone and typing on the computer.
  • Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

Required Qualifications

  • RN in IL with current unrestricted state licensure required.
  • 3+ years of clinical experience required

Preferred Qualifications

  • Managed care experience preferred
  • Discharge planning experience preferred



Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.

Keywords: CVS Health, Downers Grove , Telephonic Case Manager RN, Other , Downers Grove, Illinois

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