At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs.
Requirements
- 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
- Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs.
- Provides evidence-based disease management education and support to help the member achieve health goals.
- Ensures the appropriate members of the interdisciplinary care team are involved in the member’s care.
- Provides care coordination to support a seamless health care experience for the member.
- Meticulous documentation of care management activity in the member’s electronic health record.
- Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
- Identifies and connects members with health plan benefits and community resources.
- Meets regulatory requirements within specified timelines.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
