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
This position is eligible for telework anywhere in EST or CST time us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.
The Nurse Educator will support the training and compliance monitoring of the DSNP/MMP Management team. They are responsible for conducting audits of current processes, reports, and procedures to identify process improvements and issue resolutions.
Develops and conducts ongoing staff training based on workflow needs and outcomes of clinical audits.
Develops and implements comprehensive training program for department new hires.
Implements training programs to increase role specific consistencies and efficiencies related to process workflows.
Measures outcomes of clinical staff training and identifies key findings to ensure effective alignment of training content and method of delivery with business objectives and staff performance requirements.
Provides ongoing and random qualitative and quantitative analysis using organizational performance measurements to ensure compliance with government regulations and corporate policy.
Assists with onboarding and training of new hired staff
Required Qualifications
Unrestricted and active RN licensure required
3+ year of experience in a hospital setting (preferably Med/Surge)
3+ years of experience in a managed care clinical operation environment (utilization management, case management, and/or behavioral health case management) required
Preferred Qualifications
1+ year of DSNP/ MMP experience required
Previous Managed Care experience
Excellent verbal and written communication skills
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Ability to use standard corporate software packages and corporate applications.
Education
Associates degree or Nursing Diploma required
BSN preferred
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: 08/10/2024
Qualified 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.
Compensation Information:
$63200.8 / Yearly - $63200.8 / Yearly
Starting At: 63200.8 Yearly
Up To: 136600.0 Yearly
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