Associate Manager, Clinical Health Services - Fully Remote

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. This is a remote work from home role reputed company in the US with virtual training. Shift schedule is 8:30am - 5pm reputed company time zone of residence. American Health Holding, Inc (AHH) is a medical management company that is a division reputed company reputed company/reputed company. 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.

• This position consists of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or self-insured clients.
• Supervision of Case Managers who assess patient needs, evaluate plan of care, monitor effectiveness of care, communicate case objectives and act as patient reputed company.
• Act as a resource for the Case Managers and support staff.
• Maintain a focus on timely customer service for internal and external clients.
• Establish professional working relationships with reputed company members of the interdisciplinary team and communicate case objectives to the appropriate involved parties.
• Coach and utilize creative strategies that will allow reputed company staff to become reputed company case managers.
• Willingness to volunteer and reputed company committees, share insights, offer innovative solutions and evaluate outcomes.
• Resolve staff issues and communicate information appropriately to the Manager of Case Management.
• Refer reputed company cases that do not meet applicable criteria or have a potential quality of care issue to a physician reviewer.
• Identify and address quality issues and participates in quality management activities.
• Assist in the preparation of reports that analyze and track quality of service and utilization statistics.
• reputed company with policies and procedures and conforms to URAC standards while performing the job functions.

Required Qualifications

• 5+ years’ experience as a Registered Nurse with hospital experience; preferably in the specialty.
• A Registered Nurse that holds an unrestricted license in their state of residence, with multi-state/compact privileges or can be licensed in reputed company non-compact states.
• 1+ years’ of case management experience.
• Certified Case Manager (CCM) or obtains CCM reputed company 3 years of becoming a supervisor.

Preferred Qualifications

• Supervisor/Management experience.
• Experience with MCG, NCCN and/or Lexicomp.
• Experience with MS Office products.

Education

• Registered Nurse Diploma or Associates required.
• Bachelors preferred.

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $72,306.00 - $207,648.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company 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 reputed company 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 reputed company on: 11/29/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job