**Experienced Full Stack Case Manager RN - Telehealth and Community Outreach in Southern Michigan**

About Us

CVS Health is a leader in the healthcare industry, dedicated to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and we strive to make healthcare more personal, convenient, and affordable. At CVS Health, we believe that our employees are the key to achieving this purpose, and we empower them to make a meaningful impact in the lives of our members.

Job Summary

We are seeking an experienced and compassionate Case Manager RN to join our team in Southern Michigan. As a Case Manager RN, you will play a critical role in assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness. This is a full-time telework role, with occasional travel required to meet members in the Detroit area and participate in office-based meetings.

Key Responsibilities

• Conduct comprehensive assessments of referred members' needs/eligibility and determine approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Apply clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Perform crisis intervention with members experiencing a behavioral health or medical crisis and refer them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
• Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices.
• Help members actively and knowledgeably participate with their provider in healthcare decision-making.
• Monitor, evaluate, and document care in collaboration with the member and their care team to meet the member's goals.
• Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies.

Essential Qualifications

• Current/Active unrestricted RN licensure in the state of MI.
• Willing and able to travel up to 15% of the time within Detroit and surrounding areas to meet members face-to-face. Reliable transportation required; mileage is reimbursed per our company expense reimbursement policy.
• Must reside in one of the following counties: Berrien, Cass, Van Buren, Kalamazoo, St. Joseph, Branch, Clinton, Eaton, Ingham, Jackson, Hillsdale, Lenawee, Livingston, Washtenaw, Monroe, Oakland, Macomb, or Wayne.
• 4+ years of clinical experience post-bachelors as an RN in a hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.
• 1+ year of case management experience.

Preferred Qualifications

• Experience using Microsoft Office products including Word, Excel, Teams, and Outlook.
• Experience with complex disease management ranging from children to adults.

Education

Bachelor's in Nursing required.

Compensation and Benefits

The typical pay range for this role is $60,522.80 - $129,615.20. 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.

Career Growth Opportunities and Learning Benefits

At CVS Health, we are committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including on-the-job training, mentorship, and education assistance. Our employees also have access to a range of benefits, including paid time off, holidays, and a comprehensive benefits package.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, empathy, and compassion. We believe that our employees are the key to achieving our purpose, and we empower them to make a meaningful impact in the lives of our members. Our work environment is collaborative, supportive, and inclusive, and we encourage our employees to share their ideas and perspectives.

How to Apply

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