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CVS Health
CVS Health
Mažmeninė prekybaSveikatos draudimasSveikatos priežiūra
CVS Health yra Jungtinių Amerikos Valstijų sveikatos priežiūros įmonė, veikianti sveikatos priežiūros paslaugų, sveikatos draudimo, vaistų išmokų administravimo ir mažmeninės prekybos vaistais srityse. Per tokias veiklas kaip „Aetna“ ir „CVS Caremark“ įmonė padeda užtikrinti sveikatos draudimo apsaugą, receptinių vaistų prieinamumą, ligų valdymą, specializuotus vaistus ir vaistų užsakymo paštu paslaugas. Jos vietinės vaistinės ir platesnės priežiūros paslaugos skirtos tam, kad žmonės galėtų patogiau ir prieinamiau gauti būtiną sveikatos priežiūrą. CVS Health sujungia draudimo, vaistinių ir sveikatos priežiūros paslaugas, kad padėtų žmonėms ir bendruomenėms viso jų priežiūros kelio metu.
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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.

USJungtinės ValstijosTXTeksasas
60 522 $ – 129 615 $ / metai
HibridinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųSlaugytojas/slaugytoja

Aprašymas

  • 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

Reikalavimai

  • 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

Privalumai

  • 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

Susiję darbai

Johnson & Johnson

Early-Career Immunology Key Account Manager, Sweden

Johnson & Johnson
H1B vizos rėmėjasFarmacijos produktaiSveikatos draudimasSveikatos priežiūra
SEŠvedija
432 000 kr – 693 450 kr / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųPrivaloma Kalba: švedųKlientų vadybininkasPardavimai

Build healthcare customer relationships and support Johnson & Johnson’s Immunology sales strategy. This field-based role covers Sweden and includes structured training and customer engagement responsibilities.

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