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RN Case 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 coordination, ensuring compliance with regulatory standards while effectively communicating and building rapport with members. Proficient in developing strategies to enhance member wellness and achieving performance metrics in a managed care environment.
Highest-signal resume keywords
Current/Active Clinical LicensureCase Management ExperienceCCM CertificationExcellent Communication SkillsMotivational Interviewing Skills
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 AchievementTime Management
Soft Skills
Customer Service OrientationProblem SolvingHighly OrganizedSelf-Driven
Tools & Technologies
Technology Proficiency
Certifications & Qualifications
Current/Active Clinical LicensureCCM Certification
Industry Keywords
Managed Care OrganizationWellness StrategiesNetwork ManagementClinical Coverage Policies
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 Degree Required
- CCM Certification preferred
- Previous experience in Managed Care Organization preferred
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, based on eligibility
- CVS Health bonus, commission or short-term incentive program in addition to base pay