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.This is a full-time telework position with less than 5% travel required.The schedule for this role is Monday-Friday 8:30a-5p in time zone of residence.Position SummaryThis RN Case Manager position is remote and candidates can apply from any state but must work the stated hours. There is a preference for nurses in a compact RN licensure state, however, that is not required. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.Collaboratively develops a proactive course of action to address issues presented to enhance the short and long term outcomes as well as opportunities to enhance a member's overall wellness through integration.Through the use of clinical tools and information/data review (e.g., assessments, claims, etc.) conducts an evaluation of member's needs and available benefits to collaborate and refer to programs offered by the plan sponsor.Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.Utilizes case management processes in compliance with regulatory and company policies and procedures.Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.A private designated workspace free of distractions and high-speed internetRequired QualificationsMust have an active current and unrestricted RN license in state of residence. If located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restrictionMust be willing and able to obtain additional state licenses as needed5+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)1+ year(s) of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone1+ year(s) of experience with all Microsoft Office Suite applicationsMust be willing and able to work Monday through Friday between the hours of 8:30am - 5:00pm in applicant's time zone for a scheduled 8-hour shift. Weekends and holidays may be required per the needs of the department. Currently, both weekends and holidays are on-call only and covered on a volunteer basisMust be willing and able to travel less than 5% for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printingPreferred QualificationsCompact RN licensure1+ year(s) of case management experienceCertified Case Manager (CCM) certificationStrong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issuesStrong telephonic communication and organizational skillsExcellent critical thinking skillsEducationAssociate's Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,095.00 - $116,760.00This 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.Great benefits for great peopleWe 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 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 and many other benefits depending on eligibility.For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 02/20/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job Apply To this Job