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RN Care Manager
CVS Health. Coordinate all case management activities with members to evaluate medical needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and clinical licensure, with a strong focus on enhancing member wellness through effective communication and compliance with regulatory standards. Proven ability to manage time effectively and achieve performance metrics in a dynamic work environment.
Highest-signal resume keywords
Current/Active Clinical LicensureCase Management ExperienceExcellent Communication SkillsMotivational Interviewing SkillsTechnology Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementDocumentation ExcellenceCompliance StandardsPerformance Metrics AchievementWellness Strategy Development
Soft Skills
Customer Service OrientationProblem SolvingHighly OrganizedSelf-DrivenRapport Building
Certifications & Qualifications
RNLCSWLPCLMFT
Industry Keywords
Clinical Coverage PoliciesNetwork ManagementTelephonic SkillsVariable Work ScheduleBachelors Required
About the role
Key responsibilities & impact- Coordinate all case management activities with members to evaluate medical needs
- Facilitate the overall wellness of members
- Develop strategies to address issues, outcomes, and opportunities to enhance members' overall wellness through integration
- Instruct programs and procedures in compliance with network management and clinical coverage policies
Requirements
What you’ll need- Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
- Case Management experience
- Strong customer service orientation and problem solving
- Excellent Communication/Telephonic skills
- Excellent motivational interviewing skills/ability to built rapport and trust telephonically
- Excellence in documentation and respecting compliance/regulatory standards
- Highly organized, remain self-driven without direct supervision
- Manage time effectively
- Achieve performance metrics
- Technology proficiency
- Variable work scheduled with ability to work 2 days weekly until 9pm local time
- Bachelors required
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 the base pay range