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’re seeking a compassionate and results‑driven Case Manager RN to support members through personalized, high‑quality care coordination. In this fully remote role, you’ll use clinical expertise, data‑driven insights, and strong advocacy to help members achieve optimal, cost‑effective health outcomes.

• →Conduct comprehensive clinical assessments and identify care coordination needs
• →Develop, implement, and monitor individualized case management plans
• →Support inpatient review and discharge planning as appropriate
• →Advocate for members to maximize benefits and access appropriate services
• →Engage members through coaching, education, and motivational interviewing
• →Identify and escalate quality‑of‑care concerns
• →Deliver exceptional customer experience while collaborating with care teams and Medical Directors

• Monday–Friday, 9:00 AM–5:30 PM (your local time zone)
• Occasional rotating late shift as needed (11:30 AM–8:00 PM EST)

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company paid)
• 3+ years of acute care RN experience (Med‑Surg or Critical Care preferred)
• Strong clinical judgment, decision‑making, and organizational skills

• Compact or multi‑state RN license
• Certified Case Manager (CCM)
• Telephonic case management or telephonic clinical experience

• Associate Degree in Nursing (required)
• BSN (preferred)

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.