Cvs Shared Services Resources LLC

Case Manager, Registered Nurse (Oncology experience

Work at Home, Texas, United States · Full-time

Sponsorship not specified$54k-$156kDetected 40 days ago

About the role

This is a remote work from home role anywhere in the US with virtual training.
American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management.

5+ years' experience as a Registered Nurse, including at least 1 year in a hospital setting.
A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
1+ years' current or previous experience in Oncology.

1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.
1+ years' experience in Utilization Review.
CCM and/or other URAC recognized accreditation preferred.
1+ years' experience with MCG, NCCN and/or Lexicomp.
Bilingual in Spanish preferred.
Our people fuel our future.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.

$54,095.00 - $155,538.00 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.
Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience.
At CVS Health®, you'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 - helping to simplify health care one person, one family and one community at a time.
AHH delivers flexible medical management services that support cost-effective quality care for members.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.

our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

This listing is sourced directly from Cvs Shared Services Resources LLC's careers page and normalized into a canonical job model.