telephonic nurse

CenterWell Pharmacy

<div>
 
 Become a part of our caring community and help us put health first
 
 
 
 We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments.
 
 
 As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education. The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.
 
 
 This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform.
 
 
 <ul>
 <li>
 This position is for 10am-6:30pm EST three days a week M-F, and two days a week hours of 11:30am-8pm EST.
 </li>
 <li>
 There will be a Friday late night requirement on a rotation of 11:30am-8pm.
 </li>
 <li>
 Overtime is required on an as needed basis.
 </li>
 <li>
 There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, The day after Thanksgiving, and New Years Day.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 Bachelors of Science in Nursing (REQUIRED)
 </li>
 <li>
 3 - 5 years of clinical acute care experience
 </li>
 <li>
 Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
 </li>
 <li>
 Must live in OH, KY, FL, AZ, TX.
 </li>
 <li>
 Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
 </li>
 <li>
 Managed care experience
 </li>
 <li>
 Must be passionate about contributing to an organization focused on continuously improving consumer experiences
 </li>
 <li>
 Schedule Adherence
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Experience with care management, patient education for adult care, auto dialer experience
 </li>
 <li>
 Bilingual English/Spanish
 
 
 </li>
 </ul>
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $71,100 - $97,800 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
 
 
 About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation&rsquo;s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first &ndash; for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>

Care Manager, Telephonic Nurse 2

Insight Global

<div>
 
 
 
 Day to Day
 
 
 
 :
 
 
 
 The Nurse Navigator will work within the Medical Command Center (MCC), a clinical call center that supports 911 systems by triaging low-acuity calls and coordinating appropriate care. Using proprietary clinical decision software (Corti), Nurse Navigators assess patient needs remotely and guide them to the most suitable healthcare resources, helping reduce unnecessary emergency department visits and ambulance dispatches.
 
 
 
 
 
 Key Responsibilities
 
 
 <ul>
 <li>
 Conduct telephonic triage using evidence-based protocols and Corti software.
 </li>
 <li>
 Assess patient conditions and match them with appropriate care options (e.g., urgent care, virtual visits, ride-share transport).
 </li>
 <li>
 Coordinate care across a national network of facilities and providers.
 </li>
 <li>
 Handle calls from 911, AMR, and Fire departments.
 </li>
 <li>
 Route mental health-related calls to crisis lines when applicable.
 </li>
 <li>
 Support remote telemonitoring for patients nationwide.
 </li>
 </ul>
 
 
 
 
 Program Impact
 
 
 <ul>
 <li>
 Improves emergency response times by diverting non-emergency cases.
 </li>
 <li>
 Ensures patients receive timely, cost-effective care in the right setting.
 </li>
 <li>
 Keeps EMS units available for high-acuity emergencies.
 </li>
 </ul>
 
 
 
 
 
 
 Must Haves:
 
 
 
 <ul>
 <li>
 Active LVN license (unrestricted / compact)
 </li>
 <li>
 Graduate of an accredited nursing program.
 </li>
 <li>
 Comfortable managing 25+ calls per shift, including documentation (~11 minutes per call).
 </li>
 <li>
 Experience in telephonic assessment and remote patient monitoring.
 </li>
 <li>
 Skilled in working with patients of all ages (pediatric to geriatric).
 </li>
 <li>
 Strong knowledge of clinical protocols, national geography, and care navigation.
 </li>
 <li>
 Ability to multitask and adapt in a fast-paced, dynamic environment.
 </li>
 <li>
 Proficient in Microsoft Word and Excel; must be computer literate.
 </li>
 <li>
 Minimum typing speed of 30 WPM.
 </li>
 <li>
 Excellent phone presence and communication skills.
 </li>
 <li>
 Comfortable working with multiple monitors/screens.
 </li>
 </ul>
 
 
 
 
 
 
 
 Plusses
 
 :
 
 
 <ul>
 <li>
 Acute care experience
 </li>
 <li>
 Experience in ER, pre-hospital work, EMT, or paramedic
 </li>
 </ul>
 
 
</div>

Nurse Navigator

McKesson

<div><h2 class="jobSectionHeader">Tele-Health Nurse (RN)</h2>
Columbus, Ohio
Job ID JR0139001
Category Tele-Health Nursing, Medical &amp; Medical Research Post Date Nov. 10, 2025<div></div><div>
</div><div>McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve &ndash; we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow&rsquo;s health today, we want to hear from you.<div>
Our Tele-Health Nurse role will provide service to patients, caregivers, healthcare providers and their staff in support of prescription and specialty drugs through inbound and outbound telephonic interactions relative to program and regulatory requirements inclusive of the coordination of services such as: testing, monitoring and counseling follow up. The Tele-Health Nurse provides service and support to defined stakeholder populations through the use of telecommunications in accordance with the Nurse Practice Act and licensure guidelines.</div>
Key Responsibilities:
1.Provide telephonic and electronic service and support of stakeholders, utilizing experience in Behavior Modification and Motivational Interviewing to help achieve and sustain medication adherence through telephonic outreach.
2. Coordinate the collection of patient specific clinical data required to support adherence to regulatory program requirements and therapy protocols
3.Demonstrate understanding of and compliance with regulatory and specific service line and program requirements
4.Utilize clinical knowledge and defined processes to identify stakeholder needs, risks and safety concerns, ensuring timely escalation and reporting
5.Follow up with physicians and patients for purpose of compliance and persistency in reference to program protocols
6.Maintenance of professional licensure
Minimum Job Qualifications (Knowledge, Skills, &amp; Abilities):
Education/Training:
<ul><li>Vocational or technical training is required.</li><li>
Registered Nurse licensure is required.</li><li>
Licensure must be current and maintained upon hire and throughout duration of employment in this role.</li></ul>
Business Experience:
<ul><li>Two or more years of experience working for a healthcare company, a physician&rsquo;s office or in a laboratory environment.</li></ul>
Knowledge Skills
<ul><li>Reading, writing, arithmetic, medical terminology, good communication skills, read and interpret documents such as safety rules and procedure manuals, PC and word-processing skills, and working knowledge of the company products.</li></ul>
Specialized Knowledge/Skills:<ul><li>
Ability to express ideas clearly in both written and oral communications, read and interpret documents such as safety rules, procedure manuals, and work instructions, resolve problems independently, and speak effectively and professionally to patients, caregivers, and internal/external stakeholders of the organization.</li><li>
Pro-active self-starter with experience in researching available services and agencies to assist clients with any issues.</li><li>
Strong computer skills required, data entry, proficiency with Microsoft Suite software, basic keyboarding skills.</li><li>
Strong attention to detail to work, accuracy in data collection/note documentation, ability to navigate multiple online platforms and programs synchronously, and comply with competing regulatory requirements.</li><li>
Experience in developing and preparing action plans in addition to consulting with patients and caregivers to resolve complex issues.</li><li>
Adaptable and excited about change which positively impacts the patient experience, adherence to therapy, and goals.</li><li>
Ability to accommodate a fast-paced environment, changing needs within health care.</li><li>
Knowledge to identify Adverse Events and Product Complaints.</li></ul>
Working Conditions:<ul><li>
Remote - WFH</li><li>
Must have secure and professional working environment space, HIPAA compliant workspace.</li><li>
Must have reliable high-speed internet capable of supporting multiple online platform resource access including VOIP calls and video conferencing</li></ul>
Physical Requirements:
<ul><li>May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.</li><li>
Headset may be required for prolonged hours.</li></ul>
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,
Our Base Pay Range for this position
$27.95 - $46.58
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson&rsquo;s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!</div></div><div></div>

Tele-Health Nurse (RN)

<div><h2 class="jobSectionHeader">Tele-Health Nurse (LPN)</h2>
Columbus, Ohio
Job ID JR0139005
Category Tele-Health Nursing, Medical &amp; Medical Research Post Date Nov. 10, 2025<div></div><div>
</div><div>McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve &ndash; we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow&rsquo;s health today, we want to hear from you.
Our Tele-Health Nurse role will provide service to patients, caregivers, healthcare providers and their staff in support of prescription and specialty drugs through inbound and outbound telephonic interactions relative to program and regulatory requirements inclusive of the coordination of services such as: testing, monitoring, and counseling follow up. The Tele-Health Nurse provides service and support to defined stakeholder populations through the use of telecommunications in accordance with the Nurse Practice Act and licensure guidelines.
Key Responsibilities:
1.Provide telephonic and electronic service and support of stakeholders, utilizing experience in Behavior Modification and Motivational Interviewing to help achieve and sustain medication adherence through telephonic outreach.
2.Coordinate the collection of patient specific clinical data required to support adherence to regulatory program requirements and therapy protocols
3.Demonstrate understanding of and compliance with regulatory and specific service line and program requirements
4.Utilize clinical knowledge and defined processes to identify stakeholder needs, risks and safety concerns, ensuring timely escalation and reporting
5.Follow up with physicians and patients for purpose of compliance and persistency in reference to program protocols
6.Maintenance of professional licensure
Minimum Job Qualifications (Knowledge, Skills, &amp; Abilities):
Education/Training:
<ul><li>Vocational or technical training is required.</li><li>
Licensed Practical Nurse licensure is required.</li><li>
Licensure must be current and maintained upon hire and throughout duration of employment in this role.</li></ul>
Business Experience:
<ul><li>Two or more years of experience working for a healthcare company, a physician&rsquo;s office or in a laboratory environment.</li></ul>
Knowledge Skills<ul><li>
Reading, writing, arithmetic, medical terminology, good communication skills, read and interpret documents such as safety rules and procedure manuals, PC and word-processing skills, and working knowledge of the company products.</li></ul>
Specialized Knowledge/Skills:<ul><li>
Ability to express ideas clearly in both written and oral communications, read and interpret documents such as safety rules, procedure manuals, and work instructions, resolve problems independently, and speak effectively and professionally to patients, caregivers, and internal/external stakeholders of the organization.</li><li>
Pro-active self-starter with experience in researching available services and agencies to assist clients with any issues.</li><li>
Strong computer skills required, data entry, proficiency with Microsoft Suite software, basic keyboarding skills.</li><li>
Strong attention to detail to work, accuracy in data collection/note documentation, ability to navigate multiple online platforms and programs synchronously, and comply with competing regulatory requirements.</li><li>
Experience in developing and preparing action plans in addition to consulting with patients and caregivers to resolve complex issues.</li><li>
Adaptable and excited about change which positively impacts the patient experience, adherence to therapy, and goals.</li><li>
Ability to accommodate a fast-paced environment, changing needs within health care.</li><li>
Knowledge to identify Adverse Events and Product Complaints.</li></ul>
Working Conditions:<ul><li>
Remote - WFH</li><li>
Must have secure and professional working environment space, HIPAA compliant workspace.</li><li>
Must have reliable high-speed internet capable of supporting multiple online platform resource access including VOIP calls and video conferencing.</li></ul>
Physical Requirements:
<ul><li>May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.</li><li>
Headset may be required for prolonged hours.</li></ul>
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,
Our Base Pay Range for this position
$23.72 - $39.54
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson&rsquo;s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!</div></div><div></div>

Tele-Health Nurse (LPN)

<div><h2 class="jobSectionHeader">Bilingual Tele-Health Nurse</h2>
Columbus, Ohio
Job ID JR0139003
Category Tele-Health Nursing, Medical &amp; Medical Research Post Date Nov. 10, 2025<div></div><div>
</div><div>McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve &ndash; we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow&rsquo;s health today, we want to hear from you.
Our Bilingual Tele-Health Nurse will provide service to English and Spanish speaking patients, caregivers, healthcare providers and their staff in support of prescription and specialty drugs through inbound and outbound telephonic interactions relative to program and regulatory requirements inclusive of the coordination of services such as: testing, monitoring and counseling follow up. The Tele-Health Nurse provides service and support to defined stakeholder populations through the use of telecommunications in accordance with the Nurse Practice Act and licensure guidelines.
Key Responsibilities:
1.Provide telephonic and electronic service and support of English and Spanish speaking stakeholders, utilizing experience in Behavior Modification and Motivational Interviewing to help achieve and sustain medication adherence through telephonic outreach.
2. Coordinate the collection of patient specific clinical data required to support adherence to regulatory program requirements and therapy protocols
3.Demonstrate understanding of and compliance with regulatory and specific service line and program requirements
4.Utilize clinical knowledge and defined processes to identify stakeholder needs, risks and safety concerns, ensuring timely escalation and reporting
5.Follow up with physicians and patients for purpose of compliance and persistency in reference to program protocols
6.Maintenance of professional licensure
Minimum Job Qualifications (Knowledge, Skills, &amp; Abilities):
Education/Training:
<ul><li>Bilingual, Spanish speaking &ndash; Language proficiency test required</li><li>
Vocational or technical training is required.</li><li>
Nurse licensure is required.</li><li>
Licensure must be current and maintained upon hire and throughout duration of employment in this role.</li></ul>
Business Experience:
<ul><li>Two or more years of experience working for a healthcare company, a physician&rsquo;s office or in a laboratory environment.</li></ul>
Knowledge Skills
<ul><li>Reading, writing, arithmetic, medical terminology, good communication skills, read and interpret documents such as safety rules and procedure manuals, PC and word-processing skills, and working knowledge of the company products.</li></ul>
Specialized Knowledge/Skills:<ul><li>
Ability to express ideas clearly in both written and oral communications, read and interpret documents such as safety rules, procedure manuals, and work instructions, resolve problems independently, and speak effectively and professionally to patients, caregivers, and internal/external stakeholders of the organization.</li><li>
Pro-active self-starter with experience in researching available services and agencies to assist clients with any issues.</li><li>
Strong computer skills required, data entry, proficiency with Microsoft Suite software, basic keyboarding skills.</li><li>
Strong attention to detail to work, accuracy in data collection/note documentation, ability to navigate multiple online platforms and programs synchronously, and comply with competing regulatory requirements.</li><li>
Experience in developing and preparing action plans in addition to consulting with patients and caregivers to resolve complex issues.</li><li>
Adaptable and excited about change which positively impacts the patient experience, adherence to therapy, and goals.</li><li>
Ability to accommodate a fast-paced environment, changing needs within health care.</li><li>
Knowledge to identify Adverse Events and Product Complaints.</li></ul>
Working Conditions:<ul><li>
Remote - WFH</li><li>
Must have secure and professional working environment space, HIPAA compliant workspace.</li><li>
Must have reliable high-speed internet capable of supporting multiple online platform resource access including VOIP calls and video conferencing</li></ul>
Physical Requirements:
<ul><li>May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.</li><li>
Headset may be required for prolonged hours.</li></ul>
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,
Our Base Pay Range for this position
$23.72 - $39.54
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson&rsquo;s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!</div></div><div></div>

Bilingual Tele-Health Nurse

Baptist Memorial Health Care

<div>
 
 Overview
 
 
 
 Summary
 
 
 Performs intake functions pertaining to the documentation of patient medical history. Conducts assessment interviews using virtual technology and inputs data into medical record software such as EPIC Admission Navigator. Collaborates with bedside RNs to acquire and document data and develop plan of care. Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe quality care that preserves patient autonomy, dignity and rights.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 THE FOLLOWING ARE ALL ACCOMPLISHED IN AN ONSIGHT VIRTUAL SETTING USING TECHNOLOGY:
 </li>
 <li>
 Collaborates with bedside RN to assess patients and document patient medical history.
 </li>
 <li>
 Assists in developing the plan of care.
 </li>
 <li>
 Assist in documenting the care plan.
 </li>
 <li>
 Collaborates with bedside RN to provide patient, family, and/or significant other health teaching/education.
 </li>
 <li>
 Participates in activities designed to improve health care delivery.
 </li>
 <li>
 Communicates/collaborates with others in providing patient care.
 </li>
 <li>
 Maintain patient confidentiality while always following HIPAA guidelines.
 </li>
 <li>
 Provides clinical leadership.
 </li>
 <li>
 Supports lifelong learning.
 </li>
 <li>
 Performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Experience
 
 
 
 Requirements, Preferences and Experience
 
 
 &emsp;Preferred: 1 year of RN experience (inpatient-med-surg-preferred)
 
 
 &emsp;Minimum: 1 year of RN experience
 
 
 
 Licensure, Registration, Certification
 
 
 
 &emsp;Minimum: RN; BLS CERTIFICATION WITHIN 14 DAYS OF HIRE
 
 
 
 &emsp;Preferred
 
 
 
 
 Special Skills
 
 
 
 <ul>
 <li>
 Strong verbal and written communication skills
 </li>
 <li>
 Ability to build and foster effective teams
 </li>
 <li>
 Collaborative mindset with a focus on teamwork and relationship-building
 </li>
 <li>
 Familiarity with EPIC
 </li>
 <li>
 Ability to communicate in English and a second language desired
 
 
 </li>
 </ul>
 
 &emsp;Minimum
 
 
 
 <ul>
 <li>
 Computer literacy
 </li>
 </ul>
</div>

Nurse-RN Telehealth

CVS Health

<div>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Case Manager RN
WFH
Position Summary 
Help us elevate our patient care to a whole new level! 
 
This is a work from home position.
 
Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday shifts! Opportunities to work a 4 day 10 hour work week after completion of training. 
 
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 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 members&rsquo; health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Position Summary/Mission Our 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 member&rsquo;s overall wellness.<ul><li><ul><li> 
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 member&rsquo;s overall wellness.</li></ul>
 &bull; Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. 
 &bull; Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. 
 &bull; Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. 
 &bull; Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. 
 &bull; Collaborates with supervisor and other key stakeholders in the member&rsquo;s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences 
 &bull; Utilizes case management processes in compliance with regulatory and company policies and procedures. 
 &bull; Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.</li></ul> 
Required Qualifications<ul><li>Registered Nurse with active MI state license in good standing</li></ul>
 -Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually 
 -Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
 -Excellent analytical and problem-solving skills 
 -Effective communications, organizational, and interpersonal skills. 
 -Ability to work independently 
 -Effective computer skills including navigating multiple systems and keyboarding 
 -Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint 
Preferred Qualifications<ul><li>Care Management, discharge planning and/or home health care coordination experience preferred</li></ul>
 -Certified Case Manager preferred 
Education<ul><li>Associates required, BSN preferred</li></ul> 
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. 
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
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. 
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 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:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues 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.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/21/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager Registered Nurse - Remote (Michigan)

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