Senior RN Manager Of Delegation Compliance at CVS Health

Overview

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.

Company: Oak Street Health Title: Senior RN Manager of Delegation Compliance Location: Remote / Treehouse Role Description This position is responsible for a range of activities supporting delegated Care Management and Utilization Management functions. These may include, but are not limited to, responsibility for implementation of new delegated functions, including project planning, system readiness, accountability for reporting requirements, hiring, training, and internal/external communication required for launch. The Manager ensures departmental adherence to program standards, ensures the care programs meet compliance requirements and metrics as set by the health plan and CMS, provides initial and ongoing education to staff, and serves as the liaison between OSH and insurance providers, other business partners, vendors and internal stakeholders as required.

Core Responsibilities Oversee compliance for UM and CM to deliver an unmatched patient experience and ensure delegation compliance. Audit individual charts according to QA Audit Protocols to ensure compliance with program responsibilities and best practices Possess knowledge of contractual, accreditation, federal and business requirements for assigned program and ensure compliance with program requirements and develop corrective action plans as needed Establish work procedures and processes that support the company and departmental standards, procedures and strategic directives Establish workflows that meet compliance requirements and align with organization-wide clinical protocols Lead the review of policies and procedures, program descriptions, and evaluations; Conduct training for new team members and other internal parties as required Provide statistical and performance feedback, and coaching on a regular basis to each team member in their assigned region Create and maintain a high-quality work environment so team members are motivated to perform at their highest level Provide continual evaluation of processes and procedures. Responsible for suggesting methods to improve area operations, efficiency, and service to both internal and external staff Collaborate with other OSH program leaders to implement initiatives in support of integrating delegated services with core OSH care model (e.g. care team, social work, behavioral health, utilization management, patient engagement, central telehealth, etc.) to promote patient outreach and engagement and identify and address patient needs.

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

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• 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 . We anticipate the application window for this opening will close on: 08/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.