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Case Manager Registered Nurse (Must reside in Virginia) ID-2978

At CVS Health, we’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’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – 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.

Position Summary

This Case Manager Registered Nurse position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of Virginia. The requirements is for candidates to hold a Virginia Registered Nurse License, and travel % of the time to meet with members face to face.

Scheduled work hours will be Monday - Friday, 8:00am - 5:00 pm.


Nurse Case Manager is responsible for reviewing member medical records and treatment plans to ensure the appropriateness, effectiveness, and timeliness of care, while also managing healthcare resources and costs. This role includes review of personal care authorization requests and private duty nursing requests.


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Required Qualifications

  • Must reside in Virginia.
  • RN with current unrestricted Virginia state licensure required. 
  • 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health, Long term Care, etc.).
  • 1+ years Managed Care experience.


Preferred Qualifications

  • Typical office working environment with productivity and quality expectations
  •  Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.


Education

  • Associate's Degree Required
  • Bachelor's Degree Preferred
  • RN with VA current unrestricted Virginia state licensure required. 

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 – 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:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • 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.
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