Top 50 Complex care case manager Jobs in Vermont

Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Vermont
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Manager, Special Investigations Unit – Healthcare Fraud
CVS Health —Vermont
- $54,300 - $159,120 a year
- Full-time
- Remote
- Management
- Finance
- Analysis skills
- Health insurance
- Dental insurance
2d
Medical Director - Exempt
State of Vermont - Department of Corrections —Waterbury, VT
- $175,000 - $250,000 a year
- Weekends as needed
- Medicine
- Microsoft Excel
- 5 years
Nurse Case Manager I
State of Vermont - Department of Vermont Health Access —White River Junction, VT
- $42.58 - $66.76 an hour
- Urgently hiring
- Hybrid work
- Nursing
- RN License
- Bachelor of Science
- Wellness program
- Paid holidays
State Program Administrator - Executive Director
COLUMBUS MEDICAL SERVICES LLC —Burlington, VT
- Weekends as needed
- Remote
- Experience working with individuals with developmental disabilities
- Nursing
- RN License
Quick Apply
12d
Senior Manager, Mental Well-being Operations Innovation
CVS Health —Vermont
- $67,900 - $199,144 a year
- Full-time
- Remote
- 7 years
- SQL
- Analysis skills
- Health insurance
- Dental insurance
3d
Children's Case Manager - Lyndonville VT
NORTHEAST KINGDOM HUMAN SERVICES INC —Lyndonville, VT
- $22.25 - $27.19 an hour
- Adults
- Mid-level
- Residential
- Wellness program
- 403(b) matching
Quick Apply
Children's Case Manager- Newport VT
NORTHEAST KINGDOM HUMAN SERVICES INC —Derby Center, VT
- $22.25 - $27.19 an hour
- Adults
- Mid-level
- Residential
- Wellness program
- 403(b) matching
Quick Apply
LPN Care Manager - Mettowee
Community Health Centers of the Rutland Region —West Pawlet, VT
- $25.98 - $40.17 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Wellness program
- 403(b) matching
Quick Apply
Lead Non-Clinical Nurse Case Manager (Key Personnel)
Hartwood Consulting Group —Colchester, VT
- $46.25 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Analysis skills
- AD&D insurance
- Paid holidays
Quick Apply
Security Specialist
U.S. Customs and Border Protection —Swanton, VT
- $91,335 - $141,195 a year
- Online Application
- Psychiatry
- English
- Research
- Paid holidays
- Health insurance
2d
Mission Support Specialist
U.S. Customs and Border Protection —Saint Albans, VT
- $51,490 - $81,882 a year
- Online Application
- Remote
- Psychiatry
- English
- Mid-level
- Paid holidays
- Health insurance
3d
Case Manager II
WASHINGTON COUNTY MENTAL HEALTH SERVICES INC —Berlin, VT
- $24.87 - $25.88 an hour
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- 403(b) matching
- Health insurance
Quick Apply
Experienced Talent Acquisition Senior Recruiter
Crowe —Burlington, VT
- $65,000 - $128,500 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
9d
LPN Care Manager - Rutland
Community Health Centers of the Rutland Region —Rutland, VT
- $25.98 - $40.17 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Wellness program
- 403(b) matching
Quick Apply
Commercial Portfolio Team Lead - Burlington VT or Upper Valley NH/VT
Mascoma Bank —White River Junction, VT
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Mid-level
- Paid holidays
- Tuition reimbursement
Community Outreach Worker
United Counseling Service of Bennington County Inc —Bennington, VT
- $20.87 - $23.48 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Home Care Registered Nurse (RN)
VNA & Hospice of the Southwest Region Inc —Saint Albans, VT
- $35.59 - $53.39 an hour
- Weekends as needed
- RN License
- Mid-level
- Driver's License
- Continuing education credits
- Disability insurance
Quick Apply
Hospice Registered Nurse
VNA & Hospice of the Southwest Region Inc —Saint Albans, VT
- $35.59 - $53.39 an hour
- Weekends as needed
- RN License
- Mid-level
- Driver's License
- Continuing education credits
- Disability insurance
Quick Apply
ServiceNow ITOM Consulting Manager
Crowe —Burlington, VT
- $103,200 - $210,900 a year
- Full-time
- Azure
- System design
- 3 years
Quick Apply
9d

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complex care case manager jobs near vermont

Case Manager, Registered Nurse (Oncology experience required)

CVS Health -
Vermont

Apply Now

Job Details

Full-time
$54,095 - $155,538 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Medical records
Typing
Oncology
Hospital experience

Full Job Description

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. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is a remote work from home role anywhere in the US with virtual training.

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.

Key Responsibilities

This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.
Identifies and escalates member’s needs appropriately following set guidelines and protocols.
Need to actively reach out to members to collaborate/guide their care.
Perform medical necessity reviews.

Required Qualifications

5+ years’ experience as a Registered Nurse, including at least 1 year in a hospital setting.
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support
1+ years’ experience documenting electronically using a keyboard.
1+ years’ current or previous experience in Oncology.

Preferred Qualifications

1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.
1+ years' experience in Utilization Review.
CCM and/or other URAC recognized accreditation preferred.
1+ years’ experience with MCG, NCCN and/or Lexicomp.
Bilingual in Spanish preferred.
Bachelors Degree

Education

Diploma or Associates Degree in Nursing required.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $155,538.00

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.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

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

Apply Now

Refine Your Search

complex care case manager jobs in vermont

Case Manager, Registered Nurse (Oncology experience required)

Manager, Special Investigations Unit – Healthcare Fraud

Medical Director - Exempt

Nurse Case Manager I

State Program Administrator - Executive Director

Senior Manager, Mental Well-being Operations Innovation

Children's Case Manager - Lyndonville VT

Children's Case Manager- Newport VT

LPN Care Manager - Mettowee

Lead Non-Clinical Nurse Case Manager (Key Personnel)

Security Specialist

Mission Support Specialist

Case Manager II

Experienced Talent Acquisition Senior Recruiter

LPN Care Manager - Rutland

Commercial Portfolio Team Lead - Burlington VT or Upper Valley NH/VT

Community Outreach Worker

Home Care Registered Nurse (RN)

Hospice Registered Nurse

ServiceNow ITOM Consulting Manager

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