Case Management – Licensed Practical Nurse-Field Based
| Company | CVS Health |
|---|---|
| Location | Perrysburg, OH, USA, Bowling Green, OH, USA, Toledo, OH, USA |
| Salary | $21.1 – $36.78 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- Must be able to travel within the following Ohio counties: Fulton, Lucas, Ottawa, Wood.
- 2 years experience as a Licensed Practical Nurse or in Behavioral or physical health, Social Services, or related field.
- Ability to travel up to 75% within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise.
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Excellent analytical and problem-solving skills.
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently to meet productivity requirements.
- Ability to positively adapt and implement frequent process changes.
- Efficient and Effective computer skills including navigating multiple systems and keyboarding.
Responsibilities
- Using care management tools and information/data review, conducts ongoing face to face and telephonic outreach to locate and engage unreached members.
- Identifies and coordinates members’ initial nonclinical service needs (DME, transportation, etc.) in coordination with a Transdisciplinary Care Team (TDC).
- Identifies and escalates quality of care issues through established channels.
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Preferred Qualifications
- 2 years experience working in the community, visiting members’ homes and working virtually using tools to collaborate and connect with teams virtually.
- Case management/ Managed care experience preferred.
- Bachelor’s Degree in Behavioral Health or Healthcare related field (Psychology, Social Work, Counseling, Nutrition, Physical Therapy or Occupational Therapy Assistant, ETC.)