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Case Manager, Registered Nurse
CVS Health Careers. Coordinate, document, and communicate all aspects of the utilization/benefit management program .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination and case management, applying critical thinking and knowledge of evidence-based care while effectively communicating with members and medical professionals. Proficient in utilizing care management tools and Microsoft Office Suite, with a strong emphasis on organizational and time management skills.
Highest-signal resume keywords
Active RN License Valid In Arizona2+ Years Of Experience In Case ManagementBilingual English/SpanishProficiency In Microsoft Office Suite2+ Years Of Experience In A Clinical Setting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Strong Organizational SkillsTime Management SkillsAbility To Collaborate
Tools & Technologies
Care Management ToolsMicrosoft Office Suite
Certifications & Qualifications
Active RN License
Industry Keywords
Utilization ManagementBenefit ManagementEvidence-Based CareMedical Necessity CriteriaCare Coordination
About the role
Key responsibilities & impact- Coordinate, document, and communicate all aspects of the utilization/benefit management program
- Apply critical thinking and knowledge of clinically appropriate treatment, evidence-based care, and medical necessity criteria
- Provide care coordination, support, and education to members
- Use care management tools and resources
- Travel within Maricopa County, Arizona to visit members
Requirements
What you’ll need- 2+ years of experience in a clinical setting
- Active RN license valid in Arizona
- Must reside in Maricopa County, Arizona
- Ability to travel up to 25% of the time within Maricopa County, Arizona
- 2+ years of experience in case management
- Strong organizational and time management skills
- Ability to collaborate with internal and external partners
- Proficiency in Microsoft Office Suite, including Outlook and Word
- Previous experience collaborating with medical professionals
- Bilingual English/Spanish
- Associate’s degree
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay