Weāre building a world of health around every individual ā shaping a more connected, convenient and compassionate health experience. At CVS HealthĀ®, youāll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesĀ accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger ā helping to simplify health care one person, one family and one community at a time.
This is a work from home flexible position with up to 50% travel requirements within Burlington County, New Jersey (50-mile radius from applicant's home).
Standard working hours Monday ā Friday 8-5 pm
ICM Case Manager RN
WFH Flexible
Position Summary:
Help 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 a life-changing impact on our 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 membersā health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the memberās overall wellness.
The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a memberās overall wellness.
⢠Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
⢠Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
⢠Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
⢠Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
⢠Collaborates with supervisor and other key stakeholders in the memberās healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
⢠Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Required Qualifications
Preferred Qualifications:
Education:
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,575.00 - $142,576.00This 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. Ā The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Ā This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Ā
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Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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