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CVS Health Case Manager RN in Arizona

Job Description

Must reside in the state of Arizona, preferably within Maricopa County. Up to 10% of travel expected to the Phoenix office or for on-site visits. Monday-Friday 8am-5pm. No weekends or holidays. The MCH coordinators are responsible for all maternity and family planning education, provider education, tracking, member materials and interventions that effect our HEDIS scores. Utilizes system applications for data entry, tracking, information gathering and/or troubleshooting. - Researches member files using a variety of systems and references to obtain appropriate background information.- Monitors healthy pregnancy measures (addressing nutrition, sexually transmitted infections, HIV testing, alcohol, opioids, and substance use and other risky behaviors, measures to reduce risks for low/very low infant birth weight, recognizing active labor and others).- Monitor dangers of lead exposure to birthing parent and baby during pregnancy and how to prevent exposure, Postpartum depression, Postpartum services available and the importance of timely prenatal and postpartum care, Ways to limit labor and birth interventions as recommended by ACOG, Support resources and programs, including but not limited to Arizona Supplemental Nutrition Program for Women, Infants, and Children (WIC), the Strong Families AZ home visitation programs, the ADHS Breastfeeding Hotline, Early Head Start/Head Start, and the Birth to 5 Helpline,- Meets education goals and metrics.- Escalates issues accordingly when further action requires secondary sources or more senior staff.- Takes inbound calls when applicable/authorized.- Make outbound calls when applicable/authorized.- Coordinates with other departments according to indicated member needs.- Collects and provides data to management for root cause and issue resolution inquiries.- Completes all required documentation.- May participate in special project work for the Medical Management Department.

Pay Range

The typical pay range for this role is:

Minimum: 58,760

Maximum: 125,840

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit


Required Qualifications

  • Registered Nurse (RN) with unrestricted Arizona state license. - 3+ years of clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.-1+ year of experience with Labor and Delivery in a hospital setting or OBGYN office - Must live in the state of Arizona - 3+ years of experience using Microsoft Word and Excel required- Qualified candidates must be able to travel up to 10% of the time Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

  • Experience in a production environment highly preferred- Maricopa county preferred - Bilingual (English/Spanish); speaking/reading/writing.- Oral and written communication skills.- Ability to maintain accuracy and production standards.- Negotiation skills.- Technical skills.- Problem solving skills.- Analytical skills.- Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Outlook, Word and Excel.- Proficiency in a web-based data entry platform is required.


Associates minimum Required - Bachelors Preferred

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.