Experienced Care Manager RN - Telecommuter Opportunity with CVS Health in Oklahoma

Join CVS Health and Make a Difference in Healthcare At CVS Health, we're driven by a singular purpose: Carrying our heart to each moment of your health. As a leading healthcare organization, we're committed to delivering improved, human-driven healthcare services that are more personal, convenient, and affordable. Our Heart At Work Behaviors guide our actions, empowering every individual to play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions. About the Role: Care Manager RN We're seeking an experienced Care Manager RN to join our team in Oklahoma as a full-time field-based telecommuter. As a Care Manager RN, you'll be responsible for driving and supporting care management and care coordination activities across the continuum of care. This is an exciting opportunity to make a meaningful impact on the lives of our members and contribute to the success of our organization. Key Responsibilities: Conduct telephonic and/or in-person assessments, planning, execution, and coordination of all care management activities with members to evaluate their clinical and behavioral health needs. Develop proactive plans to address issues and opportunities to enhance member outcomes and overall well-being. Utilize clinical devices and data/information review to conduct comprehensive assessments and determine the approach to case resolution. Apply clinical judgment to integrate strategies aimed at reducing risk factors and addressing complex health and social determinants that impact care planning. Perform crisis intervention with members experiencing a social health or clinical crisis and refer them to appropriate clinical providers. Provide crisis follow-up to ensure members receive suitable treatment/services. Collaborate with interdisciplinary care teams to achieve optimal outcomes. Identify and escalate quality of care issues through established channels. Utilize influencing/motivational interviewing skills to ensure maximum member engagement and recognize their health status and needs. Provide education, information, and support to empower members to make informed clinical and lifestyle decisions. Essential Qualifications: Current unencumbered Oklahoma state licensure as an RN. 3+ years of clinical practice experience (e.g., hospital setting or alternative care setting). Completion of Social Health Caseworker certification training provided through the Department of Mental Health and Substance Abuse Services within six months of hire date. 2+ years of experience using PC, keyboard navigation, navigating multiple systems and applications, and utilizing MS Office Suite applications. Ability to travel in-state up to 30% of the time, with mileage reimbursement per company policy. Willingness to provide on-call CM coverage for evenings and weekends on a rotational schedule as required by the State regulatory agency. Preferred Qualifications: Experience caring for Native American/American Indian/Alaskan Native populations. Case management in an integrated model preferred. Managed care/utilization review experience preferred. Discharge planning experience preferred. BSN degree preferred. What We Offer: At CVS Health, we're committed to providing a competitive salary and benefits package that recognizes your skills and experience. As a Care Manager RN, you'll have the opportunity to grow and develop your career within a dynamic and supportive organization. You'll also be part of a team that's dedicated to making a positive impact on the lives of our members and the communities we serve. Work Environment and Culture: As a field-based telecommuter, you'll have the flexibility to work from home while still being connected to our team and organization. We're committed to fostering a culture that values diversity, inclusion, and collaboration, and we're proud to be an equal opportunity employer. Career Growth and Development: At CVS Health, we're dedicated to helping our employees grow and develop their careers. As a Care Manager RN, you'll have access to ongoing training and development opportunities, as well as the chance to take on new challenges and responsibilities. Compensation and Benefits: We offer a competitive salary range of $25-$40/hour, depending on experience. Our benefits package includes a range of programs and services designed to support your overall well-being, including medical, dental, and vision coverage, as well as opportunities for professional growth and development. Take the Next Step: Are you ready to join our team and make a meaningful difference in the lives of our members? If you're a compassionate and dedicated Care Manager RN looking for a new challenge, we encourage you to apply now. Let's discuss how you can become a vital part of our success story. Apply for this job Apply tot his job Apply To this Job