CVS Health एक अमेरिकी स्वास्थ्य सेवा कंपनी है, जो स्वास्थ्य सेवाओं, स्वास्थ्य बीमा, फार्मेसी लाभ प्रबंधन और रिटेल फार्मेसी के क्षेत्रों में काम करती है। Aetna और CVS Caremark जैसे व्यवसायों के माध्यम से यह स्वास्थ्य कवरेज, दवाओं तक पहुंच, रोग प्रबंधन, विशेष दवाओं और मेल-ऑर्डर फार्मेसी सेवाओं में सहायता प्रदान करती है। इसकी स्थानीय फार्मेसियां और व्यापक स्वास्थ्य सेवाएं लोगों को आवश्यक स्वास्थ्य देखभाल अधिक सुविधाजनक और किफायती तरीके से प्राप्त करने में मदद करने के लिए बनाई गई हैं। CVS Health बीमा, फार्मेसी और स्वास्थ्य सेवाओं को एक साथ लाकर लोगों और समुदायों को उनकी स्वास्थ्य यात्रा के दौरान सहयोग प्रदान करती है।
Field Registered Nurse Case Manager, Houston Hybrid
Manage Aetna members’ clinical needs by coordinating assessments, individualized care plans, and hospital-based services. Partner with care teams through the Aetna Clinical Collaboration program to support coordinated delivery.
संयुक्त राज्य
टेक्सास$60,522 – $1,29,615 / वर्ष
हाइब्रिडपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीनर्सविवरण
- Act as the coordinating contact for members, families, employers, providers, insurers, and healthcare professionals
- Manage care activities for members with catastrophic or chronic conditions throughout the care continuum
- Arrange specialist consultations, home care, community support, and alternative care settings
- Engage with members by phone and in person while working at Houston Methodist West Hospital
- Visit members during inpatient stays
- Evaluate medical, functional, and vocational needs
- Create and put into action personalized care plans
- Coordinate communication with providers, attorneys, employers, and insurers
- Complete accurate case management records within required timeframes
- Work with internal multidisciplinary care teams
- Contact treating physicians and specialists as part of member outreach
- Deliver health education and preventive guidance
- Follow relevant laws, regulations, and payer policies
- Track member outcomes and revise care plans when needed
- Design proactive approaches for complex needs and near- and long-term wellness goals
आवश्यकताएँ
- Hold an active, unrestricted Texas Registered Nurse (RN) license
- Bring at least three years of clinical experience, preferably with Medicare and commercial populations
- Work independently in a hospital-based setting
- Demonstrate strong analytical, problem-solving, organizational, and communication abilities
- Use Microsoft Word, Excel, Outlook, PowerPoint, and proprietary clinical platforms effectively
- Navigate multiple systems and perform computer-based tasks efficiently
- Have dependable transportation
- Meet onsite hospital work requirements at Houston Methodist West Hospital for approximately 50–75% of the role
- Possess an Associate’s Degree in Nursing and equivalent clinical experience
- Be willing to obtain multistate RN licensure with company support
- Have care management, discharge planning, or home health coordination experience preferred
- Hold a national certification such as CRC, CDMS, CRRN, COHN, or CCM preferred
- Comfortably configure and use multiple monitors while working across applications
- Communicate using email, calendar invitations, Teams messages, and virtual meetings
- Use Microsoft Office 365 or comparable Google Workspace tools
- Safely access secure systems, VPNs, and EHR portals; protect screens and passwords; and identify suspicious messages or links
- Resolve routine technical problems without assistance
- Remain willing to develop new skills as workplace needs change
लाभ
- Medical insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement savings programs
- Wellness initiatives
- Additional resources for physical, emotional, and financial well-being
- Potential CVS Health bonus, commission, or short-term incentive in addition to base salary