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Hybrid RN Mgr,Clinical Health Services

CVS Health · FL - Work from home, Stati Uniti d'America · Hybrid

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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.

Job Summary

The Manager of Long Term Services and Support (LTSS) is a key member of the Aetna Better Health of Florida leadership team and is responsible for overseeing healthcare service delivery, ensuring compliance with quality and safety standards, and managing staff, budgets, and resources to support operational efficiency. This role involves developing and implementing strategies to improve member outcomes and organizational performance, as well as leading quality improvement initiatives with their direct and indirect reports. The LTSS Manager reports to the Director of LTSS.

This is a fully remote role. Eligible candidates must live in Florida.

Key responsibilities include: 

  • Collaborating with Director, internal departments and external stakeholders to enhance coordination of care for LTSS members
  • Analyzing healthcare data including dashboards to inform decision-making, and addressing member concerns to improve satisfaction
  • Ensuring compliance with AHCA regulations and enterprise policies while providing leadership and professional development opportunities to the team

Required Qualifications

  • Florida resident
  • Active and unrestricted Florida clinical licence - RN or BH
  • 3 years' LTSS experience in a managed care organization to include understanding of contract, compliance measures, case management and utilization management processes, and strategies to improve member outcomes.
  • 2 years’ experience managing multiple direct reports including other leaders
  • Ability to lead and develop teams fostering a collaborative and high performing team.
  • Experience in managing daily operations, staffing, budgets and resource allocation.
  • Experience working with internal teams, external providers, and community organizations that enhance care coordination.
  • Strong ability to address challenges, develop solutions, and implement effective strategies.
  • Commitment to improving member experience, addressing concerns, and ensuring access to necessary services
  • Ability to deliver clear, engaging presentations and effectively communicate to team.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and use of TEAMS.
  • Ability to travel up to 25% for meetings.

Preferred Qualifications

  • 5 years leadership experience
  • Florida LTSS experience
  • Certified Case Manager-CCM
  • Understanding NCQA accreditation standards
  • Experience in process improvement implementation

Education

Bachelor's degree – health related field preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$78,331.00 - $168,714.00

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. 
 

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

We anticipate the application window for this opening will close on: 03/26/2025

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