Registered Nurse - Case Manager - Central Pennsylvania

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.

About the role

In partnership with the primary care provider (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.

Eligible candidates may receive a sign-on bonus as part of the offer package. This role is subject to adjustment based on clinic needs and may be located at any of the following sites:

• Bethlehem: 1336 Catasauqua Rd, Bethlehem, PA 18017
• Allentown: 1539 Lehigh St, Allentown, PA 18103
• Harrisburg: 5001 Jonestown Rd, Suite A, Harrisburg, PA 17112

Responsibilities

• Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization.
• Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.
• Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team.
• Manages transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressing identified needs directly or via collaboration with other team members.
• Collaborates with the patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
• Ensures timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.
• Leads in-person interdisciplinary care planning meetings to ensure effective care coordination and management between provider visits.
• Performs timely nursing assessments and provides patient education for chronic condition management and transitions of care.
• Educates patients and families, empowering them in their care, and advocating for their needs.
• Documents visits in the electronic health record according to internal standards.
• Other duties as assigned.

Requirements

• Current RN license in assigned state is required; Bachelor degree in nursing preferred.
• Minimum of 6-8 years nursing experience.
• Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience.
• 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.
• Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources.
• Comfort with ambiguity and change.
• High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.
• Access to reliable transportation and ability to travel throughout the communities Oak Street Health serves.
• US work authorization.
• Embodies Oak Street Health values ("Oaky"): radiating positive energy, assuming good intentions, creating an unmatched patient experience, driving clinical excellence, taking ownership and delivering results, and being relentlessly determined.

Benefits

• Mission-focused career impacting change and measurably improving health outcomes for Medicare patients.
• Paid vacation and sick time.
• Investment/retirement 401K match options.
• Health insurance, vision, and dental benefits.
• Opportunities for leadership development and continuing education stipends.
• New centers and flexible work environments.
• Opportunities for high levels of responsibility and rapid advancement.

Pay

The typical pay range for this role is $60,522.00 - $129,615.00 annually. This pay range represents the 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 also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Schedule

• Full time
• 40 hours per week