Jobs · Healthcare

Care Manager RN - Field- Yale New Haven, CT

CVS Health · New Haven, CT · 1 mo ago
RemoteRemoteHealthcare$67k/yrFull-time
We need to output HTML fragment with sections: About the role? The posting includes mission statements etc. We need to decide sections: maybe "About the role", "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". Use only those sections that have real content. We must not repeat job title. No Job ID. Remove boilerplate: cookie/navigation/legal/EEO etc. Also remove application instructions (like "Qualified applicants with arrest..." maybe considered EEO? It's about arrest records; likely EEO boilerplate, remove. Also "We anticipate the application window..." remove. We need to preserve substantive info: mission statements, schedule, travel, position summary, fundamental components, required qualifications, preferred qualifications, education, anticipated weekly hours, time type, pay range, benefits description. We need to format with

headings and
  • for lists,

    for prose. We need to decide sections: Possibly "About the role" (mission, overview), "Responsibilities" (fundamental components), "Requirements" (required qualifications), "Qualifications" (preferred qualifications + education?), "Skills" maybe not separate; could combine with qualifications. "Benefits", "Pay", "Schedule". Ensure we don't create empty sections. Let's extract content. Mission statements: "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." That's about the company; could go under "About the role" or maybe "About CVS Health". We'll put under "About the role". Position Summary: "Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country." Also "Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies." And "Position Summary/Mission Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes." We can combine these into responsibilities. Fundamental Components & Physical Requirements: list of duties (acts as liaison, implements case management, interacts, assesses, communicates, prepares documentation, consults, makes outreach, provides education, applies laws, testifies, conducts evaluation, utilizes case management processes, facilitates condition management, develops proactive course, monitors progress). We'll put as

    • . Schedule: "Schedule Monday-Friday 8AM - 5PM Travel Up to 55-75% travel in and around Yale New Haven, CT." Pay: "Pay Range The Typical Pay Range For This Role Is $66,575.00 - $142,576.00 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above." Benefits: "Our people fuel our future... 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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility." Also "Additional details about available benefits are provided during the application process and on Benefits Moments." Might be considered boilerplate but it's about benefits details; we can keep but it's generic. Might be okay. Education: "Education Associate's Degree in Nursing or Nursing Diploma (REQUIRED) Bachelor of Science in Nursing (PREFERRED)" Anticipated Weekly Hours: "Anticipated Weekly Hours 40 Time Type Full time" We could put schedule and hours under "Schedule" section. Now decide sections: - About the role (company mission + position overview) - Responsibilities (fundamental components list) - Requirements (required qualifications) - Qualifications (preferred qualifications + education) - Benefits - Pay - Schedule (including weekly hours, travel) We must not create sections with placeholder text. All have content. Now format. We'll output:

      About the role

      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.

      Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.

      Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies.

      Position Summary/Mission Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.

      But maybe too much prose; we could combine into fewer paragraphs. It's okay. Responsibilities: list of fundamental components. We'll create

      Responsibilities

      • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
      • ... etc. We need to include all bullet points from that section. Let's extract them: - Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. - Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. - Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. - Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. - Prepares all required documentation of case work activities as appropriate. - Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. - May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. - Provides educational and prevention information for best medical outcomes. - Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. - Testifies as required to substantiate any relevant case work or reports. - Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. - Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. - Monitors member/client progress toward desired outcomes through assessment and evaluation. That's many items; we keep them. Requirements (required qualifications): - Active and unrestricted CT license - Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - Minimum 2+ years CM, discharge planning and/or home health care coordination experience - Registered Nurse with active state license in good standing within the region where job duties are performed is required. We'll list as
          . Qualifications (preferred qualifications + education): Preferred qualifications: - Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise - Excellent analytical and problem-solving skills - Effective communications, organizational, and interpersonal skills. - Ability to work independently (may require working from home). - Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. - Efficient and Effective computer skills including navigating multiple systems and keyboarding - Willing and able to obtain multi state RN licenses if needed, company will provide. - Bachelor’s degree preferred. - Certified Case Manager is preferred. - Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required Education: - Associate's Degree in Nursing or Nursing Diploma (REQUIRED) - Bachelor of Science in Nursing (PREFERRED) We can combine into one section "Qualifications" with subheadings? But we only allowed headings

          . Could we include both preferred and education as list items? Might be okay to separate with

          headings? Not allowed; only

          for section headings. We could have two sections: "Preferred Qualifications" and "Education". But the instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It lists "Qualifications" as a possible heading. It didn't list "Preferred Qualifications" or "Education" as separate headings. So we should put both under "Qualifications". We'll list them as list items, maybe separate with

          for clarity? But we can just list all items in one

            . Might be okay. But we need to avoid mixing required and preferred; we already have Requirements section

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