Case Manager RN

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryDescription:Aetna’s Healthy Aging Support Program (HASP) is a short term, self-management education program. The HASP RN is responsible for telephonically assessing, planning and one on one coaching to build members’ confidence and ability to manage their health. This role evaluates the medical needs of the member to facilitate the member’s overall wellness. The HASP RN will work one on one with Medicare members on specific content addressing common health concerns for members with chronic conditions, providing education and resources, and effectively utilizing community, health care, and plan benefit resources.Fundamental Components:

Clinically assess all HASP enrolled members to determine their overall health status, coordinating with Medicare Care Management when needs supersede HASP program participation requirements

Educate members on an array of topics such as Managing Medicines, Nutrition, Safety, Benefits/ Resources, Mindfulness and Working with Care Team and empower participation of the group coaching participants

Assist the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health and well-being

Document all member interaction into the appropriate member record(s)

Demonstrate empathy for situations faced by our members and their caregivers

Troubleshoot unavailability of resources, securing support as needed to close member gaps

Follow program workflows consistently, following up with members to review their personal action plan and determine if any additional referrals are needed (e.g., Care Management, Behavioral Health, etc)

Required Qualifications

5 years clinical practice experience

Candidate must support 8:00 AM - 5:00 PM Mountain Time or 7:00 AM - 4:00 PM Pacific Time

Active and unrestricted Compact RN licensure

Preferred Qualifications

Managed Care/Medicare/Medicaid experience preferred

Bilingual preferred - Spanish

Effective communications, Organizational and interpersonal skills

Ability to work independently

Efficient and effective computer skills including navigating multiple systems and keyboarding

Education

Associates Degree or Nursing Diploma Required

Bachelors Degree Preferred

Pay RangeThe typical pay range for this role is:$54,095.60 - $116,760.80This 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. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)We anticipate the application window for this opening will close on: 11/22/2024Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.