CrawlJobs Logo

Embedded Transitional Care Manager - RN

https://www.cvshealth.com/ Logo

CVS Health

Location Icon

Location:
United States, Philadelphia

Category Icon
Category:
Health and Beauty

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

60522.00 - 129615.00 USD / Year

Job Description:

The role involves managing transitions of care for patients, advocating for them throughout the care continuum, identifying opportunities for quality care, engaging with different stakeholders, conducting assessments, medication reconciliation, and compliance with relevant criteria. It also involves supporting patients post-discharge and ensuring coordination across care teams.

Job Responsibility:

  • Manage patients through transitions of care, either face to face in the facility or telephonically, within a defined geographical area and care setting
  • advocate for the patient throughout the care continuum to ensure access to resources and resolution to all barriers to care
  • identify opportunities for improved program workflows, increased internal and external partnerships, and higher quality patient care
  • maintain real-time and accurate records of patient status through care transitions within Oak Street’s internal inpatient platform
  • adhere to CMS, state specific and NCQA compliance criteria as related to Transitions of Care
  • evaluate patient status post-ED visit or observation stay through a clinical assessment and medical record review
  • triage to determine appropriate follow up care and next steps, including reviewing medication lists and scheduling follow up appointments with the appropriate provider and/or specialists
  • engage directly with inpatient physicians, case managers, medical directors, and hospitalists (where applicable) to facilitate safe and timely discharge, appropriate follow-up care, and next steps
  • coordinate with the Utilization Management team to review medical and payer records to ensure appropriate length of stay and identify any barriers to discharge
  • conduct structured clinical assessment to identify post-discharge needs
  • conduct medication reconciliation on behalf of the PCP
  • participate in regular meetings with Oak Street Health regional leaders to coordinate program implementation and ongoing management
  • participate with the TCM Lead in quality assurance activities

Requirements:

  • An active RN license within the state of practice in good standing
  • willingness to obtain cross-state licensure, as needed
  • certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
  • 2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
  • experience in utilization management preferred
  • knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
  • exceptional communication skills and customer service orientation
  • innovative and independent problem solving skills
  • ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
  • Spanish-speaking preferred but not required
  • a flexible, positive attitude
  • valid driver’s license and ability to travel daily
  • working knowledge of Microsoft Office Product Suite
  • US work authorization
  • someone who embodies being “Oaky”

Nice to have:

  • Experience in utilization management
  • Spanish-speaking
What we offer:
  • 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
  • affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
  • no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • benefit solutions such as flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access

Additional Information:

Job Posted:
August 02, 2025

Expiration:
December 31, 2025

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Embedded Transitional Care Manager - RN

Embedded Transitional Care Manager RN

Oak Street Health takes a team-based approach to providing outstanding patient c...
Location
Location
United States , Rockford
Salary
Salary:
66575.00 - 142576.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • An active RN license within the state of practice in good standing
  • Willingness to obtain cross-state licensure, as needed
  • Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
  • 2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
  • Experience in utilization management preferred
  • Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
  • Exceptional communication skills and customer service orientation
  • Innovative and independent problem solving skills
  • Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
  • Spanish-speaking preferred but not required
Job Responsibility
Job Responsibility
  • Manage patients through transitions of care
  • Advocate for the patient throughout the care continuum
  • Identify opportunities for improved program workflows
  • Maintain real-time and accurate records of patient status
  • Adhere to CMS, state specific and NCQA compliance criteria
  • Evaluate patient status post-ED visit or observation stay
  • Triage to determine appropriate follow up care
  • Engage directly with inpatient physicians, case managers, medical directors, and hospitalists
  • Coordinate with the Utilization Management team
  • Conduct structured clinical assessment to identify post-discharge needs
What we offer
What we offer
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Affordable medical plan options
  • 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
  • Fulltime
Read More
Arrow Right

Embedded Transitional Care Manager

The Embedded Transitional Care Manager - RN (TCM-RN) plays a critical role in en...
Location
Location
United States , Indianapolis
Salary
Salary:
54095.00 - 116760.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • An active RN license within the state of practice in good standing
  • willingness to obtain cross-state licensure, as needed
  • Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
  • 2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
  • experience in utilization management preferred
  • knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
  • exceptional communication skills and customer service orientation
  • innovative and independent problem-solving skills
  • ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
  • Spanish-speaking preferred but not required
Job Responsibility
Job Responsibility
  • Manage patients through transitions of care, either face to face in the facility or telephonically
  • advocate for the patient throughout the care continuum
  • identify opportunities for workflow improvements and partnerships
  • maintain real-time records of patient transitions
  • engage with physicians, case managers, and hospitalists
  • coordinate follow-up care, medication reconciliation, and discharge planning
  • collaborate with internal stakeholders and regional leaders on transitions initiatives
  • participate in training, documentation, tracking, and quality assurance
What we offer
What we offer
  • Mission-focused career
  • paid vacation and sick time
  • investment/retirement 401K match options
  • health insurance, vision, and dental benefits
  • affordable medical plan options
  • no-cost programs for health and wellness
  • tuition assistance
  • flexible schedules
  • family leave
  • dependent care resources
  • Fulltime
Read More
Arrow Right
New

Operations associate

Each resource will act as a seller onboarding & operations associate with focus ...
Location
Location
India , New Delhi
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
December 21, 2025
Flip Icon
Requirements
Requirements
  • 1–3 years of experience in e-commerce operations, catalog management, or seller onboarding (marketplace or aggregator)
  • Strong skills in Google Sheets/Excel, catalog CMS tools
  • Familiarity with e-commerce product taxonomy and seller operations
  • Good communication skills (regional language knowledge a plus)
Job Responsibility
Job Responsibility
  • Draft product descriptions and attribute mapping as per ONDC schema
  • Review and validate image quality
  • flag gaps and assist sellers in corrections
  • Maintain catalog scoring and readiness tracker
  • Collect and validate seller details (MSME/FPO certification, product line)
  • Support sellers in basic pricing strategy and inventory updates
  • Ensure product visibility and catalog hygiene on Buyer Apps
  • Monitor order flow from confirmation to delivery
  • Coordinate with logistics partners for timely pickup and delivery
  • Track seller cancellations and ensure timely resolution of issues
Read More
Arrow Right
New

Warehouse Shift Supervisor

Warehouse Shift Supervisor, Elland. You’ll play a key role in ensuring our wareh...
Location
Location
United Kingdom , Elland
Salary
Salary:
Not provided
asafe.com Logo
A-SAFE GROUP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Strong experience working in a busy warehouse role, including team leadership and FLT driving
  • Previous experience managing teams in a warehouse or manufacturing environment
  • Strong organisational skills with the ability to plan, prioritise, and keep operations running smoothly
  • A proactive, solutions-focused approach to problem-solving and decision-making under pressure
  • Good numeracy and IT skills, with experience producing routine reports
  • GCSE Maths and English (Grade C/Level 4 or equivalent)
  • Willingness to work on a continental 4 on 4 off shift pattern (rotating days and nights)
Job Responsibility
Job Responsibility
  • Lead and motivate your team to achieve daily targets while maintaining a positive, safety-first culture
  • Ensure quality and compliance by overseeing picking, packing, and labelling processes and addressing any non-conformance issues
  • Keep operations on track by delegating tasks, monitoring KPIs, and maintaining accurate inventory and documentation
  • Drive continuous improvement by identifying opportunities to streamline processes and reduce waste
  • Champion safety and housekeeping standards across the warehouse, ensuring a clean and organised environment at all times
What we offer
What we offer
  • 20 Days holiday plus the ability to buy more
  • Guaranteed time off during summer holidays and Christmas
  • Subsidised state-of-the-art gym on-site
  • Year-long shift plan confirmed early for easier planning at home and work
  • Enhanced Neo-Natal and Maternity leave, together with Paternity and shared parental leave
  • Free 24/7 Employee Assistance Programme (EAP)
  • Free and secure on-site parking
  • State-of-the-art facilities, including a kitchen, shower rooms and a breakout room, including a pool table
  • Shift pattern to avoid rush-hour traffic
  • Greater work-life balance
  • Fulltime
Read More
Arrow Right
New

Warehouse Associate

ARZ Fine Foods is the Essence of Mediterranean Gourmet; we are purveyors of exot...
Location
Location
Canada , North York, Ontario
Salary
Salary:
Not provided
ARZ Fine Food
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • May be required to assemble boxes and containers as well as contact shipping carriers and coordinate pick-ups
  • Order and receive merchandise in accordance with Company standards and regulations
  • Verify both outgoing and incoming shipments, checking for quality assurance and refusing any damaged goods
  • Maintain files of shipments sent and received
  • Track packages and keep records of shipped items
  • May load and unload trucks
  • Catalogs and codes invoices, if requested, according to procedure
  • Takes initiative to identify report and resolve problems before they escalate
  • Verbal and written knowledge of English
  • Excellent communication and organization skills
What we offer
What we offer
  • Competitive pay
  • Paid training
  • Opportunities to grow and advance in your career
  • we promote from within
  • 10% discount grocery card to use as often as you wish
  • A collaborative and creative team to be part of
  • Sustainable employment where people are our number one priority
Read More
Arrow Right
New

Cafe Manager

ARZ Fine Foods is the Essence of Mediterranean Gourmet; we are purveyors of exot...
Location
Location
Canada , Scarborough, Ontario
Salary
Salary:
Not provided
ARZ Fine Food
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Manage day-to-day operations of the cafe
  • Hire and onboard new staff and manage their performance
  • Train employees on food and drinks preparation and proper use of equipment
  • Coordinate with vendors and order supplies as needed
  • Maintain updated records of daily, weekly and monthly revenues and expenses
  • Add new menu items based on seasonality and customers’ preferences
  • Advise staff on the best ways to resolve issues with clients and deliver excellent customer service
  • Nurture friendly relationships with customers to increase loyalty and boost our reputation
  • Hands-on experience with professional food preparation equipment
  • Excellent communication skills with the ability to manage and motivate a team
What we offer
What we offer
  • Competitive pay
  • Paid training
  • Opportunities to grow and advance in your career
  • we promote from within
  • 10% discount grocery card to use as often as you wish
  • A collaborative and creative team to be part of
  • Sustainable employment where people are our number one priority
Read More
Arrow Right
New

Deli Manager

ARZ Fine Foods is the Essence of Mediterranean Gourmet; we are purveyors of exot...
Location
Location
Canada , Scarborough, Ontario
Salary
Salary:
Not provided
ARZ Fine Food
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous supervisory and food services experience
  • Ability to develop and implement budgets and to adhere to cost and margin requirements
  • Ability to plan, develop and implement efficient and productive systems
  • Ability to supervise, manage and motivate self and staff
  • Commitment to superior customer service
  • Good communication and listening skills
  • Willingness to learn and grow to meet changing requirements of the job
What we offer
What we offer
  • Competitive pay
  • Paid training
  • Opportunities to grow and advance in your career
  • we promote from within
  • 10% discount grocery card to use as often as you wish
  • A collaborative and creative team to be part of
  • Sustainable employment where people are our number one priority
Read More
Arrow Right
New

Kitchen Assistant

ARZ Fine Foods is the Essence of Mediterranean Gourmet; we are purveyors of exot...
Location
Location
Canada , Scarborough, Ontario
Salary
Salary:
Not provided
ARZ Fine Food
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Assists with the preparation, presentation, decoration and storage of the hot and cold dishes
  • Prepares extensive range of Middle Eastern food, including appetizers, soups, sauces, dressings, kababs, sandwiches, cold mezzeh and hot mezzeh
  • Produces food of high quality according to standard recipes
  • Prepare appetizers
  • Prepares in advance food, material and equipment needed for the service
  • Maintains a clean and hygienic work area
  • Performs other duties as assigned to meet business
What we offer
What we offer
  • Competitive pay
  • Paid training
  • Opportunities to grow and advance in your career
  • 10% discount grocery card to use as often as you wish
  • A collaborative and creative team to be part of
  • Sustainable employment where people are our number one priority
Read More
Arrow Right
Welcome to CrawlJobs.com
Your Global Job Discovery Platform
At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.