About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Required Schedule Monday-Friday 8-5pm CST with flexibility needed to meet business needs. Position Summary Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Potential for minimal travel as business needs arise.

Requirements

  • Active and good standing RN Compact License
  • Minimum 3+ years clinical practical experience required with preference for the following backgrounds: diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members.
  • Discharge Planning experience
  • Minimum 2+ years case management, discharge planning and/or home health care coordination experience

Nice To Haves

  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills.
  • Ability to work independently (may require working from home).
  • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
  • Efficient and Effective computer skills including navigating multiple systems and keyboarding
  • Willing and able to obtain multi state RN licenses if needed, company will reimburse expense
  • Bilingual preferred
  • BSN preferred
  • Certified Case Manager is preferred.
  • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.
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