Description
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 Summary
Requirement to reside in Chicago, Illinois or within commuting distance of the greater Chicago Metro area75% of expected travel throughout the Chicago Metro Area. Most be willing to travel up to 50 to 75 miles. Working schedule is Monday-Friday; will work between 8am - 8pm Accountable Care Field Case Manager uses a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Fundamental Components & Physical Requirements
Acts as a liaison with beneficiary, family, provider(s), and healthcare personnel as appropriate.
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill beneficiary across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Interacts with beneficiaries telephonically or in person. May be required to meet with beneficiaries in their homes, physician's office, or CVS Health Hub to provide ongoing case management services.
Assesses and analyzes injured, acute, or chronically ill beneficiaries medical status; In collaboration with the provider partner develops a plan of care to facilitate the beneficiary appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
Communicates with beneficiary and other stakeholders as appropriate (e. g., medical providers, attorneys, community resources) telephonically or in person.
Prepares all required documentation of case work activities as appropriate.
Interacts and consults with internal multidisciplinary team as indicated to help beneficiary maximize best health outcomes.
Collaborate with treating physician or specialists concerning course of care and treatment as appropriate.
Provides educational and prevention information for best medical outcomes.
Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by Medicare and referral sources.
Conducts an evaluation of beneficiary's needs and facilitates integrative functions using clinical tools and information/data.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work.
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a beneficiary's overall wellness through integration.
Monitors beneficiary progress toward desired outcomes through assessment and evaluation
Required Qualifications
A Registered Nurse that must hold an unrestricted license in Illinois
3+ years clinical experience required with at least 1 year of experience in one of the following areas: critical care, ICU, CCU, Emergency
2+ years case management experience required
Must be willing to travel up to 75% throughout the greater Chicago Metro Area and okay with traveling 50 to 75 miles.
Reliable transportation required - Mileage is reimbursed per our company expense reimbursement policy
Intermediate to Advance computer skills including easily navigating multiple programs/systems ( Outlook, Word, Excel, TEAMS, EMR) and keyboarding skills
Preferred Qualifications
Managed Care experience preferred
Medicare experience preferred
Advanced Care Planning Experience preferred
CCM Certification
Excellent analytic and problem-solving skills
Experience with work independently (this position will be work from home/field)
Bilingual Spanish and English preferred.
Education
Diploma or Associates Degree in Nursing or higher
Pay Range
The typical pay range for this role is:
$63,200.80 - $136,600.00
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. 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
We anticipate the application window for this opening will close on: 08/27/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless t
Compensation Information:
$63200.8 / Yearly - $63200.8 / Yearly
Starting At: 63200.8 Yearly
Up To: 136600.0 Yearly
Apply on company website