nurse care manager

Included Health

<div>
 We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager will guide members through complex Medical and Behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You should also excel at creating cohesive care plans, and should have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
 <br/>
 <br/>
 <strong>
  Schedule: Monday-Friday 9am-6pm PST
  <br/>
  <br/>
 </strong>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Deliver coordinated, patient-centered virtual Care Management by telephone and video that improves members' health outcomes.
  </li>
  <li>
   Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
  </li>
  <li>
   Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
  </li>
  <li>
   Partner with the members' local providers to ensure coordinated care.
  </li>
  <li>
   Provide compassionate, longitudinal follow-up care, building supportive relationships.
  </li>
  <li>
   Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
  </li>
  <li>
   Coordinate necessary resources that holistically address members' problems, whether clinical or social
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor of Science in Nursing (BSN).
  </li>
  <li>
   Must have current CCM Certification or eligibility within 6 months of hire
  </li>
  <li>
   5+ years of experience in nursing
  </li>
  <li>
   2+ years experience working in care management
  </li>
  <li>
   Must reside in a compact NLC state.
  </li>
  <li>
   Active Compact RN license in good standing with the nursing board of their state.
  </li>
  <li>
   Willingness to become (and maintain) licensure in multiple states.
  </li>
  <li>
   Work 9AM-6pm PST (Preference for those based in MST/PST time zones)
  </li>
  <li>
   Be comfortable discussing several medical conditions and experience with populations across the age ranges
  </li>
  <li>
   Spanish speaking desirable
  </li>
  <li>
   Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.
  </li>
  <li>
   Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
  </li>
  <li>
   We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
  </li>
  <li>
   Strictly follow security and HIPAA regulations to protect our patients' medical information.
  </li>
  <li>
   Be pleasant, responsive, and willing to work with and learn from our team.
  </li>
  <li>
   A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
  </li>
  <li>
   Efficient at writing medical information in easy-to-understand, patient-centric language.
   <br/>
   <br/>
  </li>
 </ul>
 The United States new hire base salary target range for this full-time position is:
 <br/>
 <br/>
 $73,700 - $103,180 + equity + benefits
 <br/>
 <br/>
 This range reflects the minimum and maximum target for new hire salaries for candidates. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
 <br/>
 <br/>
 Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive compensation based on their roles and locations.
 <em>
  Your Recruiter can share your geographic zone alignment upon inquiry.
  <br/>
  <br/>
 </em>
 In addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following:
 <br/>
 <br/>
 Remote-first culture
 <br/>
 <br/>
 401(k) savings plan through Fidelity
 <br/>
 <br/>
 Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
 <br/>
 <br/>
 Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents
 <br/>
 <br/>
 Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
 <br/>
 <br/>
 12 weeks of 100% Paid Parental leave
 <br/>
 <br/>
 Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy &amp; Adoption financial assistance
 <br/>
 <br/>
 Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)
 <br/>
 <br/>
 11 Holidays Paid with one Floating Paid Holiday
 <br/>
 <br/>
 Work-From-Home reimbursement to support team collaboration and effective home office work
 <br/>
 <br/>
 24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations
 <em>
  .
  <br/>
  <br/>
 </em>
 <strong>
  About Included Health
  <br/>
  <br/>
 </strong>
 Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We&rsquo;re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community &mdash; no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It&rsquo;s all included. Learn more at
 <strong>
  includedhealth.com.
  <br/>
  <br/>
 </strong>
 Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
 <br/>
 <br/>
 Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions&mdash;final decisions are made exclusively by our recruiting and hiring teams.
</div>


Pediatric Nurse Care Manager

<div>
 We're looking for Oncology Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
  </li>
  <li>
   Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
  </li>
  <li>
   Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
  </li>
  <li>
   Partner with the members' local providers to ensure coordinated care.
  </li>
  <li>
   Provide compassionate, longitudinal follow-up care, building supportive relationships.
  </li>
  <li>
   Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
  </li>
  <li>
   Coordinate necessary resources that holistically address members' problems, whether clinical or social
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor of Science in Nursing (BSN) required
  </li>
  <li>
   Oncology experience highly preferred
  </li>
  <li>
   5+ years of experience in nursing
  </li>
  <li>
   2+ years experience working in care management
  </li>
  <li>
   Must reside in a compact NLC state.
  </li>
  <li>
   Active Compact RN license in good standing with the nursing board of their state.
  </li>
  <li>
   Willingness to become (and maintain) licensure in multiple states.
  </li>
  <li>
   Work until 9-6PM PST
  </li>
  <li>
   Be comfortable discussing several medical conditions and experience with populations across the age ranges
  </li>
  <li>
   Spanish speaking desirable
  </li>
  <li>
   Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.
  </li>
  <li>
   Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
  </li>
  <li>
   We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
  </li>
  <li>
   Strictly follow security and HIPAA regulations to protect our patients' medical information.
  </li>
  <li>
   Be pleasant, responsive, and willing to work with and learn from our team.
  </li>
  <li>
   A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
  </li>
  <li>
   Efficient at writing medical information in easy-to-understand, patient-centric language.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Physical/Cognitive Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Prompt and regular attendance at assigned work location.
  </li>
  <li>
   Capability to remain seated in a stationary position for prolonged periods.
  </li>
  <li>
   Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
  </li>
  <li>
   No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.
  </li>
  <li>
   Capability to work with leadership, employees, and members in an appropriate manner.
   <br/>
   <br/>
  </li>
 </ul>
 The United States new hire base salary target range for this full-time position is:
 <br/>
 <br/>
 $73,700 - $103,180 + equity + benefits
 <br/>
 <br/>
 <em>
  This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
  <br/>
  <br/>
 </em>
 <em>
  Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.
  <br/>
  <br/>
 </em>
 <strong>
  Benefits &amp; Perks
  <br/>
  <br/>
 </strong>
 <em>
  In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
  <br/>
  <br/>
 </em>
 <em>
  Remote-first culture
  <br/>
  <br/>
 </em>
 <em>
  401(k) savings plan through Fidelity
  <br/>
  <br/>
 </em>
 <em>
  Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
  <br/>
  <br/>
 </em>
 <em>
  Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
  <br/>
  <br/>
 </em>
 <em>
  12 weeks of 100% Paid Parental leave
  <br/>
  <br/>
 </em>
 <em>
  Family Building &amp; Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
  <br/>
  <br/>
 </em>
 <em>
  Work-From-Home reimbursement to support team collaboration home office work
  <br/>
  <br/>
 </em>
 <em>
  Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
  <br/>
  <br/>
 </em>
 <strong>
  About Included Health
  <br/>
  <br/>
 </strong>
 Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We&rsquo;re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community &mdash; no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It&rsquo;s all included. Learn more at
 <strong>
  includedhealth.com.
  <br/>
  <br/>
 </strong>
 Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
 <br/>
 <br/>
 Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions&mdash;final decisions are made exclusively by our recruiting and hiring teams.
 <br/>
 <br/>
</div>


Oncology Nurse Care Manager, Adult

<div><div>We're looking for Oncology Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.</div><div>
#LI-Remote</div>
<h3 class="jobSectionHeader"><b>Responsibilities:</b></h3><ul><li>
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.</li><li>
Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.</li><li>
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.</li><li>
Partner with the members' local providers to ensure coordinated care.</li><li>
Provide compassionate, longitudinal follow-up care, building supportive relationships.</li><li>
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.</li><li>
Coordinate necessary resources that holistically address members' problems, whether clinical or social</li></ul><h3 class="jobSectionHeader"><b>
Qualifications:</b></h3><ul><li>
Bachelor of Science in Nursing (BSN) required</li><li>
Oncology experience highly preferred
</li><li>5+ years of experience in nursing</li><li>
2+ years experience working in care management</li><li>
Must reside in a compact NLC state.</li><li>
Active Compact RN license in good standing with the nursing board of their state.</li><li>
Willingness to become (and maintain) licensure in multiple states.</li><li>
Work until 9-6PM PST</li><li>
Be comfortable discussing several medical conditions and experience with populations across the age ranges</li><li>
Spanish speaking desirable</li><li>
Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.</li><li>
Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.</li><li>
We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.</li><li>
Strictly follow security and HIPAA regulations to protect our patients' medical information.</li><li>
Be pleasant, responsive, and willing to work with and learn from our team.</li><li>
A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.</li><li>
Efficient at writing medical information in easy-to-understand, patient-centric language.</li></ul><h3 class="jobSectionHeader"><b>
Physical/Cognitive Requirements</b></h3><ul><li>
Prompt and regular attendance at assigned work location.</li><li>
Capability to remain seated in a stationary position for prolonged periods.</li><li>
Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.</li><li>
No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.</li><li>
Capability to work with leadership, employees, and members in an appropriate manner.</li></ul><div>
The United States new hire base salary target range for this full-time position is:</div><div>
$73,700 - $103,180 + equity + benefits</div><div></div><div><i><br>
This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.</i></div><div><i>
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.</i></div><div></div><div><b><br>
Benefits &amp; Perks:</b></div><div><i>
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:</i></div><div><i>
Remote-first culture</i></div><div><i>
401(k) savings plan through Fidelity</i></div><div><i>
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)</i></div><div><i>
Paid Time Off (&quot;PTO&quot;) and Discretionary Time Off (&quot;DTO&quot;)</i></div><div><i>
12 weeks of 100% Paid Parental leave</i></div><div><i>
Family Building &amp; Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.</i></div><div><i>
Work-From-Home reimbursement to support team collaboration home office work</i></div><div><i>
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.</i></div><div></div><div><b><br>
About Included Health</b></div><div></div><div><br>
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We&rsquo;re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community &mdash; no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It&rsquo;s all included. Learn more at<b> </b><b>includedhealth.com</b><b>.<br>
</b></div><div></div><div>-</div><div>
Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.</div>
<p>
Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions&mdash;final decisions are made exclusively by our recruiting and hiring teams.</p></div>

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p>
This RN Case Manager position is 100% remote and candidates can apply from any state.</p><p></p><p>
Normal Working Hours: Monday through Friday between the hours of 8:00am &ndash; 7:00pm CSTfor a scheduled 8-hour shift. Preference is for an RN with Compact RN licensure who lives in either CST, MST, or PST time zone.</p><p></p><p>
Weekends may be required per the needs of the department.</p><p></p><p>
This position is with Aetna's Commercial Care Management division on the dedicated team supporting Amazon's membership.</p><p></p><p>
Employees will have an occasional evening shift rotation per the needs of the team.</p><p></p><p>
Less than 10% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing.</p><p></p><p>
The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.</p><p></p><p>
RN Case Manager:</p><p>
&ndash; Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member&rsquo;s overall wellness through integration.</p><p>
&ndash; Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member&rsquo;s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.</p><p>
&ndash; Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.</p><p>
&ndash; Utilizes case management processes in compliance with regulatory and company policies and procedures.</p><p>
&ndash; Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.</p><p></p><p><b><br>
Required Qualifications:</b></p><ul><li>Must have an active and unrestricted RN license and, if located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restriction</li><li>Willingness and ability to obtain additional state licenses upon hire (paid for by the company)</li><li>3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)</li><li>Ability to use a computer station with multiple screens, operate multiple programs simultaneously, and sit for extended periods of time</li><li>A private designated workspace free of distractions and high-speed internet</li></ul><p></p><p><b><br>
Preferred Qualifications:</b></p><ul><li>Compact RN licensure</li><li>RN living in CST, MST, or PST Time Zone</li><li>1+ years of case management experience</li><li>Certified Case Manager (CCM) certification</li><li>Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.</li><li>Experience with all types of Microsoft Office including PowerPoint, Excel, and Word</li><li>Strong telephonic communication skills</li><li>1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.</li><li>BSN</li><li>Transgender certification</li></ul><p></p><p><b><br>
Education:</b></p><ul><li>Associates in nursing</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$60,522.00 - $129,615.00<p></p><p>
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.</p><p><br>
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.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 04/04/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Registered Nurse Care Manager

AristaMD

<div></div><div><div><div><div><div><p><b>Job title</b></p><p><br>
Care Manager - Temporary</p></div><div><p><b><br>
Classification</b></p><p><br>
Non-Exempt</p></div><div><p><b><br>
Reports to</b></p><p><br>
Senior Operations Manager</p></div></div></div></div><div></div><div><div><div><div><p><b><br>
We care about our customers.</b></p><p><b><br>
We care about our employees.</b></p><p><b><br>
We are transparent.</b></p></div><div><p><b><br>
We are collaborative.</b></p><p><b><br>
We are flexible.</b></p><p><b><br>
We are fair.</b></p></div></div></div></div><div></div><div><div><div><p><b><br>
Position Purpose &amp; Focus</b></p></div><br>
</div></div><p>
AristaMD is seeking a passionate, patient-centered Care Manager to join our virtual specialty care program, as part of AristaMD&rsquo;s SpecialtyCare360 services platform.</p><p><br>
The Care Manager acts as the primary advocate and coordinator for members with complex health or social needs. You will be responsible for assessing member requirements, designing personalized care plans, and collaborating with multidisciplinary teams to ensure high-quality, cost-effective outcomes. Your goal is to bridge the gap between providers and patients.</p><p><b><br>
About AristaMD</b>: AristaMD is dedicated to improving access to timely, cost-effective specialty care while maintaining care continuity. We achieve this by delivering PCP-centered specialty care solutions, including eConsults and robust care coordination. Become a part of our transformative mission to revolutionize healthcare access.</p><div></div><div><div><div><p><b><br>
Essential Duties &amp; Responsibilities</b></p></div><br>
</div></div><ul><li>
Conduct comprehensive physical, mental, and social health assessments, developing individualized care plans with measurable goals.</li><li>
Act as the &quot;hub&quot; between doctors, specialists, insurance providers, and families to streamline communication and treatments.</li><li>
Ensure patients understand their medical conditions and rights, empowering members to make informed decisions about their care.</li><li>
Identify and connect patients with community resources, such as home health services, transportation, or financial assistance.</li><li>
Regularly review patient progress, adjusting care plans as medical conditions or social situations change.</li><li>
Maintain precise, HIPAA-compliant electronic health records (EHR) and provide regular reports on outcomes.</li><li>
Maintain positive and effective relationships within the multidisciplinary Care Coordination and broader AristaMD team to ensure a streamlined and supportive experience for patients.</li><li>
Work with partners to facilitate referral intake processes and patient communication workflows</li><li>
Other duties as needed</li></ul><p></p><div><div><div><p><b>
Qualifications | Competencies | Success Factors</b></p></div><br>
</div></div><p><b>
Qualifications:</b></p><p><b>
Required</b></p><ul><li>
Diploma or Associates Degree in Nursing required</li><li>
Minimum of 3 years&rsquo; experience as a Registered Nurse</li><li>
Holds an active, unrestricted license in their state of residence, and willingness to receive multi-state/compact privileges and can be licensed in all non-compact states.</li><li>
Familiarity with remote physiological monitoring, electronic medical record (EMR) or electronic health record (EHR) systems, and patient engagement tools</li></ul><p><b>
Preferred</b></p><ul><li>
Bachelor&rsquo;s degree in Nursing (BSN)</li><li>
Minimum of 3 years of experience in healthcare case management, clinical nursing, or community health</li><li>
Experience in a multi-specialty medical practice setting (virtual, telehealth medical practice experience a plus)</li><li>
Bilingual or multilingual proficiency</li></ul><p><b>
Skills &amp; Competencies:</b></p><ul><li>
Comprehensive understanding of chronic disease management, health coaching, and motivational interviewing techniques.</li><li>
Thorough knowledge of clinical guidelines, standards of care, and utilization management principles.</li><li>
Thorough knowledge of HIPAA regulations and a commitment to compliance.</li><li>
Exceptional organizational skills, meticulous attention to detail, and strong time management abilities.</li><li>
Excellent written and verbal communication and interpersonal skills, especially in therapeutic communication with patients and families.</li><li>
Adept problem-solving capabilities in complex clinical and social situations.</li><li>
Technically adept with a focus on practical application of digital tools (e.g., telephone and text etiquette, virtual visit platforms, etc.).</li><li>
Ability to work collaboratively and build strong relationships across the healthcare team (physicians, social workers, specialists).</li><li>
Ability to adapt and thrive in a dynamic, frequently changing environment, including prioritizing and multitasking effectively in a fast-paced, growth-oriented setting.</li><li>
Comfortable and capable of participating in video meetings with your camera on.</li></ul><p><b>
Success Factors:</b></p><ul><li>
Highly self-motivated, proactive, and takes initiative with a &quot;can-do&quot; attitude.</li><li>
Self-directed and capable of working independently in a remote environment.</li><li>
Strong sense of urgency, effective follow-up, and commitment to meeting deadlines.</li><li>
Accountable and resourceful in identifying and resolving issues independently.</li></ul><p><b><br>
Work Environment:</b></p><ul><li>
This is a fully remote position.</li><li>
Standard Monday-Friday schedule; 8:00 - 5:00pm local standard time.</li><li>
Some non-major holiday and after hours coverage may be required.</li><li>
Must possess reliable high-speed internet access and a quiet, dedicated workspace.</li><li>
Candidates must be physically located within the United States.</li></ul><p>
</p><p>jQ2SzJA3w7</p></div>

Nurse Care Manager (Temporary, Remote)

ABILITIES FIRST

<div><p><b>PRIMARY PURPOSE OF JOB</b>:</p>
<p>
The Abilities First DD Health Home/ &ldquo;Steps Forward&rdquo; Nurse Care Manager (NCM) plays a pivotal role in managing the the population health needs and gaps in care of the DD Health Home population by adopting a whole-person approach that encompasses both physical and behavioral health aspects of individuals served in the DD Health Home program. The NCM will provide services reflecting the six core services of the DD HH program including care management, care coordination, health promotion, comprehensive transitional care, individual and family support, and referral to community and social support services.</p>
<p>
The NCM will work closely with the DD Health Home Directors, Physician Consultants or APRNs, and the Specialized Healthcare Consultants, as well as other members of the individual&rsquo;s health and care teams to assess current health needs, services, gaps in care and health assessment for each DD Health Home client assigned. The NCM will conduct health assessments, assist in developing and monitoring individual plan health goals and progress related to medical, and social determinants of health needs. The NCM is responsible for providing individual and population health education services. The NCM must provide a minimum of one core service for each assigned DD Health Home client per month. The NCM will utilize electronic health record systems to review, record health information and document health outcomes and services provided.</p>
<p><b>
This description may not include all duties, knowledge, skills, or abilities associated with this position.
</b></p><p><b>ESSENTIAL FUNCTIONS AND PERFORMANCE AREAS</b>:</p>
<ul><li>
Facilitate and participate in an organized, interdisciplinary team approach to care management for all assigned DD Health Home clients as well as the Abilities First DD Health Home overall population.</li><li>
The NCM will meet with individuals assigned to the Abilities First DD HH within the required timelines to explain to the individual the benefits and purpose of the DD HH program.</li><li>
The NCM must conduct a chart review within 30 days of enrollment of the individual into the DD HH program. In this process the NCM will become familiar with the clinical record and individual&rsquo;s history and identify and prioritize health issues which may exist and begin the health care assessment and health plan process.</li><li>
The NCM shall complete a Metabolic Syndrome (MBS) screening with individuals as needed and per the timelines and required frequency as mandated by the DD Health Home contract and provider manual. The DD HH NCM will coordinate with the individual&rsquo;s PCP to determine the recommended time frame for obtaining new lab values.</li><li>
The NCM must document services provided, clinical measures and data obtained, and reviews in each assigned individuals&rsquo; medical records; notes must, at a minimum, document the chart review occurred and be entered into the record within 72 hours of service.</li><li>
As part of comprehensive care management services, the DD HH NCM is responsible for completing standardized, comprehensive assessments of individuals&rsquo; health needs. The health information will be documented on a Health Screen form and entered into the appropriate electronic health record system/s.</li><li>
The DD HH NCM must conduct an annual face-to-face (video or in person) meeting with the individual and parent/guardian to review the health information, discuss healthcare concerns, and help translate health and wellness goals for inclusion in the individual&rsquo;s DD HH healthcare goals.</li><li>
The NCM must monitor and regularly follow up on patients' health progress, adjusting treatment plans as necessary.</li><li>
As part of Care Coordination, health promotion and family support services, the NCM will help develop an overall person-centered health plan for each individual, which coordinates and integrates all clinical and social determinants of health-related needs and services and facilitates the individuals&rsquo; participation in the ongoing revision of their DD HH healthcare goals.</li><li>
The NCM will encourage active individual involvement through appropriate linkages, referrals, coordination, and follow up to needed services and support.</li><li>
The NCM will document individual services in the individual&rsquo;s medical record including, but not limited to, comprehensive care management monitoring for care management gaps. Documentation must meet the DMH/MO HealthNet requirements.</li><li>
The NCM will utilize the DMH/DD identified system on a regular basis and are able to revise DD HH healthcare goals, as necessary.</li><li>
The NCM must perform timely medication reconciliation interventions and sign off on the medication reconciliation when complete, as mandated and defined in the DD Health Home contract and provider manual. A progress note must be entered in the individual record documenting the completion and results of the medication reconciliation. A transfer or hospital follow-up and medication reconciliation review must occur within 7 days for any DD HH enrollee that has been discharged from the hospital.</li><li>
The NCM will develop education to teach individuals how to manage their chronic illnesses and encourage healthy lifestyles.</li><li>
The NCM is responsible for overseeing the health trends of the entire population of individuals, following-up on identified trends impacting the health of the population, addressing high utilizers, participating in health education activities, including, as examples, topics on smoking cessation, disease prevention, and medication adherence.</li><li>
The NCM will coordinate care of DD HH participants enrolled in Managed Care Organizations (MCO) including keeping MCO apprised of individual&rsquo;s needs; follow up with the individual&rsquo;s interactions with the MCO during scheduled visits or phone calls; notify the MCO of individual&rsquo;s discharge from the DD HH, as applicable.</li><li>
The NCM will maintain relationships and coordinate communication with individuals&rsquo; primary care physician. Assist the enrollee in acquiring a primary care physician when needed.</li><li>
The NCM must demonstrate the ability to identify potential abuse and neglect situations and follow protocol according to all applicable regulatory requirements.</li><li>
The NCM must have the ability to bend, sit, stand, and stoop.</li><li>
The NCM must have the ability to establish effective working relationships with co-workers and the public.</li><li>
NCM may not exceed the maximum 1 FTE: 200 individuals served ratio. This includes staff filling these roles on a part-time basis.</li><li>
Other duties as assigned</li></ul>
<p><b>
WORK ENVIRONMENT</b>:
</p><p>The work environment described here is representative of those an employee encounters while performing the essential duties and responsibilities of this job. The work environment is fast-paced and result-oriented, which presents multiple demands with frequent interruptions, constantly shifting schedules and priorities and simultaneous deadlines requiring the employee to be flexible, organized and cooperative. This position has access to confidential information. This requires the employee to maintain a high level of knowledge in confidentiality, agency policy and procedure, and applicable laws.</p>
<p><b>
LEADERSHIP, ETHICS, AND PROFESSIONAL CONDUCT</b>:</p>
<p>
Abilities First employees are expected to model exemplary leadership at all times. This includes representing the agency in a positive, respectful, and professional manner through words, actions, and expressions. Employees are expected to communicate concerns, challenges, and differing perspectives through the established chain of command, using constructive, solution-focused, and professional language rather than judgmental or disparaging commentary. Abilities First expects staff to observe the highest ethical standards, maintain professional conduct above reproach and demonstrate unwavering integrity in all internal and external interactions.</p>
<p><b>
KNOWLEDGE, SKILLS, AND ABILITIES</b>:</p>
<ul><li>
Knowledge and experience teaching self-management</li><li>
Excellent telephone and interpersonal communication skills</li><li>
Ability to multi-task and prioritize, strong organizational skills</li><li>
Strong knowledge of medical terminology</li><li>
Strong knowledge of disease process/disease management and nursing care/body systems throughout the lifespan</li><li>
Computer experience required (Microsoft Office, Microsoft Teams)</li><li>
Electronic health record experience required</li></ul>
<p><b>
CORE COMPETENCIES</b>:
</p><p>Core competencies align with the Abilities First Core Values <b>&ndash; OATH</b></p>
<p><b>
One Team One Mission</b></p>
<ul><li><i>
Contributing to Team Success</i> &ndash; Actively participating as a member of a team to move the team toward the completion of goals.</li><li><i>
Engagement Readiness</i> &ndash; Demonstrating a willingness to commit to one&rsquo;s work and to invest one&rsquo;s time, talent and best efforts in accomplishing organizational goals.</li></ul>
<p><b>
Accountable, respectful service</b></p>
<ul><li><i>
Continuous Improvement</i> &ndash; Originating action to improve existing conditions and processes, identifying improvements opportunities, generating ideas, and implementing solutions.</li><li><i>
Quality Orientation</i> &ndash; Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.</li><li><i>
Technical/Professional Knowledge and Skills</i> &ndash; Having achieved a satisfactory level of technical and professional skill or knowledge in position-related area, keeping up with current developments and trends in area of expertise.</li></ul>
<p><b>
Transparent stewardship</b></p>
<ul><li><i>
Decision Making</i> &ndash; Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.</li><li><i>
Planning and Organizing</i> &ndash; Establishing courses of action for self and others to ensure that work is completed effectively.</li></ul>
<p><b>
Hold the rope</b></p>
<ul><li><i>
Adaptability</i> &ndash; Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.</li><li><i>
Leadership Disposition</i> &ndash; Demonstrating the traits, inclinations, and dispositions that characterize successful leaders; exhibiting behavior styles that meet the demands of the leader role.</li></ul>
<p><b>
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS</b>:</p>
<ul><li>
(1) Registered Nurse who has a current Missouri or compact RN license recognized by the Missouri State Board of Nursing as an RN OR (2) Licensed Practical Nurse who has a current Missouri or compact LPN license recognized by the Missouri State Board of Nursing as an LPN.</li><li>
At least one year of professional nursing experience required.</li><li>
Experience in the IDD field is preferred, but not required.</li></ul>
<p><b>
ADDITIONAL REQUIREMENTS</b>:</p>
<ul><li>
Must have a valid Missouri Driver&rsquo;s License, acceptable driving record and auto liability insurance that meets the requirements set by Abilities First.</li><li>
Must have secure and reliable high-speed internet in instance of working remotely.</li><li>
Must be able to pass a background screening.
</li></ul><p><b>PHYSICAL CONTEXT AND WORK ENVIRONMENT:</b></p>
<p><b>
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job duties</b>.</p>
<div><div><div><b>
Physical Requirements</b><br>
</div><div><b> Percentage of Work Time Spent on Activity</b></div></div><br>
<div><div>
</div><div><b> 0-24%</b></div><div><b> 25-49%</b></div><div><b> 50-74%</b></div><div><b> 75-100%</b></div></div><br>
<div><div><b>
Seeing:</b> Must be able to see to read documents/reports and focus on computer for an extended period.</div><div></div><div> X</div></div><br>
<div><div><b>
Hearing:</b> Must be able to hear well enough to communicate with coworkers and general public.</div><div></div><div> X</div></div><br>
<div><div><b>
Sitting: </b>Must be able to sit for long periods of time.</div><div></div><div> X</div></div><br>
<div><div><b>
Standing/Walking:</b> Must be able to move about the work area.</div><div> X</div></div><br>
<div></div><div><div><b>
Climbing/Stooping/Kneeling:</b> Must be able to stoop or kneel to pick up items off the floor and filing in a bottom drawer file cabinet.</div><div> X</div></div><br>
<div></div><div><div><b>
Lifting/Pulling/Pushing</b>: Must be able to lift 20 pounds with or without reasonable assistance.</div><div> X</div></div><br>
<div></div><div><div><b>
Driving: </b>Must be able to drive locally for work-related assignments.<br>
</div><div> X</div></div><br>
<div></div><div><div><b>
Grasping/Feeling:</b> Must be able to type, handle documents, and use equipment and electronic devices.<br>
</div><div></div><div> X</div></div><br>
</div>
<p></p>
<ul><li>The work environment is usually a well-lighted, environmentally controlled indoor environment with moderate level of noise.</li><li>
Works in an office environment with the option for some remote work.</li></ul>
<p>
The statements herein are intended to describe the general nature and level of work being performed but are not to be seen as a complete list of responsibilities, duties, and skills required of personnel so classified. Also, they do not establish a contract for employment and are subject to change at the discretion of the employer.</p>
<p>
Created: 12.13.2023; Updated: 11.07.2024; 12.31.2025</p></div>

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