Nurse Case Management - Accordant

Job DescriptionMust reside in NC and be licensed in the state as wellMust be able to commute to training in High Point for training As a Registered Nurse (RN) on the Health Management team, you will optimize our members' level of wellness and independence by avoiding unnecessary hospitalizations or service duplication, provide continuity of care, cost containment, and improve clinical and financial outcomes resulting in improved quality of life. You are the link between the member, the providers, the payer, and the community. The registered nurse in this role will use their excellent written and verbal customer service skills and advanced computer skills in order to interact with key partners and members. As a Case Management Registered Nurse (RN) you are the link between the member, the providers, the payer, and the community. Function autonomously collaborating with all members of the healthcare team to coordinate quality, cost-effective care and minimize fragmentation of the healthcare delivery system for our patient members. The goals of the Case Management Nurse are to optimize the members' level of wellness, independence, enhance quality of life and prevent unnecessary hospitalizations or service duplication. The Case Management Nurse will use excellent written and verbal customer service skills and advanced computer skills in order to interact with key partners, members and staff. Our Case Management Nurses are eligible to work from home after successful completion of our training program in High Point, NC or assigned location. As a Case Management Registered Nurse you will... Provide continuity of care, promote cost containment, enhance quality, and improve clinical and financial outcomes. Use your clinical expertise to conduct telephonic health assessments, provide appropriate education and clinical interventions to members in multiple disease populations. Develop meaningful relationships with members and/or their caregivers functioning as a resource and advocate to enhance quality of care. Certain positions may require additional certifications and/or specialized training based on assigned patient population.SCHEDULE- Monday - Friday 8am to 5pm with 1 split dayRequired Qualifications- A Registered Nurse that must hold an unrestricted license in their state of residence, with multi-state/compact privileges and have the ability to be licensed in all non-compact states. - Obtain Case Manager Certification (CCM) within 4 years of hire or as determined by business needs. - Minimum of 1 year experience as a Case Manager; providing patient care coordination for health services. - Minimum of 5 years recent clinical experience preferably in a hospital, home care or similar setting. - Experience using Microsoft Office, including Word, Excel and Outlook. - Required to train onsite in our designated office, with current social distancing guidelines.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Case Manager Certification Previous telephonic/telehealth experience in health care highly preferred Bilingual Spanish Epic software experience Existing RN multi state and Puerto Rico licensureEducationRN Diploma, Associates or Bachelors in NursingBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04