Case Manager Registered Nurse

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.

We are seeking an experienced Registered Nurse (RN) Case Manager to join our growing team in a fully remote role. In this position, you will partner with members, providers, and care teams to assess needs, coordinate care, reduce health risks, and improve overall wellness through proactive case management.

• Monday-Friday, 9:00 AM-5:30 PM EST (8-hour shift)
• Occasional on-call weekends and holidays, currently covered on a volunteer basis
• Less than 5% travel for meetings, training, or licensure requirements

• →Assess, plan, implement, and coordinate care for members telephonically and/or virtually
• →Develop individualized care plans and wellness strategies
• →Identify clinical and social barriers to health outcomes
• →Connect members with available programs, benefits, and community resources
• →Apply clinical judgment to manage complex health conditions and reduce risk factors
• →Engage members through strong communication and motivational interviewing techniques
• →This job will require time in a queue-like setting.

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company-paid)
• 3+ years of acute care RN experience (medical, surgical, specialty, ICU, pediatrics, discharge planning, or case management)
• Comfortable working with multiple computer applications and monitors
• Associate Degree in nursing

• Compact RN license
• BSN
• 1+ year of case management experience
• Certified Case Manager (CCM) certification
• Strong customer service and member engagement skills
• Excellent phone-based communication skills
• Prefer candidates living in MST or PST.

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Future Growth: Openness to learning new skills in the future as the workplace environment evolves.

The typical pay range for this role is:

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.