Experienced Full Stack Case Manager RN - Oncology and Transplant: Telephonic Case Management Expert with a Passion for Patient-Centered Care

Are you a compassionate and skilled Registered Nurse with a passion for delivering exceptional patient-centered care? Do you have a strong background in oncology and transplant nursing, with experience in case management and utilization review? If so, we invite you to join our team as a Full Stack Case Manager RN - Oncology and Transplant. As a telephonic case manager, you will play a critical role in ensuring that our patients receive the highest quality care, while also navigating the complexities of the healthcare system.

About Us

At CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and we believe that every interaction with our patients, customers, and colleagues should be guided by our Heart At Work Behaviors. We are a company that values empathy, compassion, and kindness, and we are dedicated to creating a culture that is inclusive, supportive, and empowering.

Job Summary

As a Full Stack Case Manager RN - Oncology and Transplant, you will be responsible for providing telephonic case management services to patients and their care teams, while also navigating the complexities of the healthcare system. You will apply your clinical judgment and expertise to assess the needs of our patients, develop and implement care plans, and ensure that our patients receive the highest quality care. Your role will involve:

• Providing telephonic case management services to patients and their care teams, including assessments, care planning, and coordination of care
• Applying clinical judgment and expertise to assess the needs of our patients, develop and implement care plans, and ensure that our patients receive the highest quality care
• Utilizing case management processes in compliance with regulatory and company policies and procedures
• Collaborating with clinical colleagues, supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives
• Identifying and escalating member needs appropriately following set guidelines and protocols
• Performing medical necessity reviews
• Utilizing motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations

Required Qualifications

* 5+ years of experience as a Registered Nurse with hospital experience, preferably in the specialty

• A Registered Nurse that holds an unrestricted license in their state of residence, and is willing to obtain multi-state/compact privileges and can be licensed in all non-compact states
• 1+ years of experience documenting electronically using keyboard and multiple computer screens as well as free form text with good typing skills
• 1+ years of current or previous experience in Oncology or Transplant

Preferred Qualifications

* 1+ years of Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience, as well as experience with transferring patients to lower levels of care

• 1+ years of experience in Utilization Review
• CCM and/or other URAC recognized accreditation preferred
• 1+ years of experience with MCG, NCCN, and/or Lexicomp
• Bilingual, preferably Spanish

Education

* Diploma or Associates Degree in Nursing or higher

Pay Range

The typical pay range for this role is $54,095.60 - $116,760.80. 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.

Benefits

In addition to your compensation, you will enjoy the rewards of an organization that puts its heart into caring for its colleagues and 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.

Career Growth Opportunities

At CVS Health, we are committed to helping our colleagues grow and develop their careers. We offer a range of training and development programs, including:

• On-the-job training and mentorship
• Leadership development programs
• Continuing education and certification programs
• Career advancement opportunities

Work Environment and Company Culture

As a remote work-from-home role, you will have the flexibility to work from anywhere in the US, while still being part of a dynamic and supportive team. Our company culture is built on empathy, compassion, and kindness, and we are committed to creating a work environment that is inclusive, supportive, and empowering.

Conclusion

If you are a compassionate and skilled Registered Nurse with a passion for delivering exceptional patient-centered care, we invite you to join our team as a Full Stack Case Manager RN - Oncology and Transplant. Apply now to take the first step towards a rewarding career with CVS Health. Apply for this job