Remote LVN/LPN Care Management Specialist - Transforming Healthcare through Compassionate Care Coordination

Join the CVS Health Team: Revolutionizing Healthcare with Heart At CVS Health, we're driven by a singular purpose: to bring our heart to every moment of your health. As a leading healthcare organization, we're committed to delivering enhanced, human-centric care that's both personal and convenient. Our team is built on a foundation of Heart At Work Behaviors, empowering every employee to play a vital role in transforming our culture and driving innovation. We're seeking a dedicated LVN/LPN Care Management Specialist to join our Aetna Team, working remotely to make a life-changing impact on our members' lives. About the Role: LVN/LPN Care Management Specialist As a Remote LVN/LPN Care Management Specialist, you'll be an integral part of our Care Management team, focusing on the complex needs of our dual-eligible population. Under the guidance of a Registered/Licensed RN, you'll coordinate care for members experiencing significant health changes, ensuring seamless transitions between care settings. Your compassionate attention and excellent communication skills will facilitate holistic assessments, identify needs for clinical resources, and drive goal attainment. Key Responsibilities: Complete outreach cadence calls and post-discharge questionnaires within compliance-driven timelines, ensuring timely support for members. Utilize weekly and daily reporting to identify utilization trends, driving efforts to reduce Emergency Department Utilization and 30-day hospital readmissions. Follow members throughout their care continuum, from inpatient hospital stays to post-discharge recovery, ensuring a return to prior levels of functioning in the community. Facilitate Interdisciplinary Care Team Meetings with Social Services, Care Management, PCPs, and other key stakeholders to discuss service needs and support safe transitions. Collaborate with the care team to ensure optimal wellness, addressing the full continuum of members' healthcare and social determinant needs. Essential Qualifications: 2+ years of LPN or LVN nursing experience, with a strong background in care coordination or a related field. Active and unrestricted compact LPN or LVN licensure in your state of residence, ensuring compliance with regulatory requirements. Preferred Qualifications: Bilingual skills (Spanish) are highly desirable, enabling you to support a diverse member population. Discharge planning experience, with a deep understanding of the complexities involved in care transitions. Advanced proficiency in Microsoft Word, Excel, and Outlook, with the ability to adapt to new technologies and systems. Self-motivated, energetic, and detail-oriented, with excellent organizational skills and the ability to multitask in a fast-paced environment. Effective verbal and written communication skills, with the ability to craft clear, concise messages for diverse audiences. Skills and Competencies: To succeed in this role, you'll need to possess a unique blend of clinical expertise, communication skills, and compassion. Key competencies include: Care coordination and case management, with a focus on holistic assessments and individualized support. Effective communication and interpersonal skills, with the ability to build strong relationships with members, providers, and community organizations. Analytical and problem-solving skills, with the ability to interpret data and drive informed decision-making. Technical skills, including proficiency in Microsoft Office and the ability to adapt to new systems and technologies. Career Growth Opportunities and Learning Benefits: At CVS Health, we're committed to supporting your long-term career goals and providing opportunities for growth and development. As a Remote LVN/LPN Care Management Specialist, you'll have access to: Ongoing training and education, ensuring you stay up-to-date on the latest clinical practices and industry trends. Career advancement opportunities, with a clear path for professional growth within our organization. Mentorship and coaching, with experienced professionals guiding your development and supporting your success. Work Environment and Company Culture: As a remote employee, you'll enjoy the flexibility and autonomy of working from home, while remaining connected to our vibrant company culture. Our Heart At Work Behaviors guide our interactions and decision-making, fostering a collaborative and inclusive work environment. Compensation, Perks, and Benefits: We offer a comprehensive benefits package, including: A competitive salary, reflecting your experience and qualifications. A full range of medical, dental, and vision benefits, ensuring your overall well-being. A 401(k) retirement savings plan, with opportunities for employee stock purchase and other savings options. Fully-paid term life insurance, providing peace of mind for you and your loved ones. Short-term and long-term disability benefits, supporting you through challenging times. Numerous well-being programs, education assistance, and free development courses, promoting your ongoing growth and well-being. CVS store discount, discount programs with participating partners, and other perks that make your life easier. Paid Time Off (PTO) or vacation pay, and paid holidays throughout the calendar year, allowing you to recharge and enjoy time with loved ones. Join Our Team: Make a Lasting Impact If you're a motivated and compassionate healthcare professional, we invite you to join our team as a Remote LVN/LPN Care Management Specialist. Together, we can make a life-changing difference in the lives of our members, driving better health outcomes and a brighter future for all. Apply now to take the first step in this rewarding career opportunity! Apply for this job