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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

This position coordinates care for Oak Street Health members. This position works collaboratively with interdisciplinary care teams that may include the member's PCP, specialists, Social Worker, Behavioral Health Specialist, and community resource contacts, while functioning with professional autonomy under the supervision of the Complex Care Management leadership team. This position performs appropriate assessments, organizes, reviews, and reports health and social information. Individuals in this position demonstrate cultural sensitivity, effective communication, and motivational interviewing skills.

Core Responsibilities:

• Manage an assigned caseload of members while remaining in compliance with all internal and regulatory requirements

• Create and nurture relationships with all assigned members working towards their optimal overall health and well-being

• Be the system navigator and point of contact, in collaboration with administrative support, for members and families

• Conduct complete, timely, and accurate program specific assessments

• Develop and maintain a person-centered care plan or family driven care plan for all members in assigned caseload involving the member's PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other specialists, as needed to evaluate the individual's needs, goals, and plan of action

• Complete all activities and interventions outlined in the members care plan and ongoing monitoring of cases to ensure routine follow up and progression in their care plan goals

• Document visits in electronic health record according to standards set forth in delegation contracts

• Specific delegated services may require Care Coordinator to schedule and maintain interdisciplinary care team (ICT) meetings and to facilitate associated activities with members and their identified support team while maintaining strong communication with the member's care team

• Maintain HIPAA standards and confidentiality of protected health information

• Other duties, as assigned

What are we looking for?

• Current RN License in good standing in the state of practice required

• Minimum of three (3) years clinical experience, HMO /Managed Care setting preferred

• Care Coordination / Case Management training

• Knowledge of community resources in assigned service area

• Knowledge of clinical standards of care preferred

• Knowledge of Medicaid/Medicare contracts and benefit systems is preferred

• Demonstrated customer-focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary care team, community agencies, members, and families

• Ability to work autonomously, follow through with delegated tasks and be directly accountable for deliverables

• Outstanding verbal and written communication skills

• Ability to work independently and maintain flexibility in a fast-paced, start-up environment

• A high-level of accountability and responsibility for the outcome of care

• Strong presentation and facilitation skills

• Ability to affect change, work as a productive and effective team member, and adapt to changing needs and priorities

• Excellent organizational skills and ability to manage multiple priorities appropriately

• Independent problem-solving skills

• A flexible, positive attitude

• Experience working with Inner City, Suburban, and Rural neighborhood members

• Access to reliable transportation - able to travel daily

• Working knowledge of Microsoft Office Product Suite

• Working knowledge of Google Suite

• Familiar with variety of Electronic Medical Records platforms preferred

• US work authorization

• Someone who embodies being "Oaky"

What does being "Oaky" look like?

• Radiating positive energy

• Assuming good intentions

• Creating an unmatched patient experience

• Driving clinical excellence

• Taking ownership and delivering results

• Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody "Oaky" values and passion for our mission.

Oak Street Health Benefits: 

• Mission-focused career impacting change and measurably improving health outcomes for medicare patients

• Paid vacation, sick time, and 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

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. 

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.