Case Manager Registered Nurse

CVS Health • New York, NY

2d • Remote

About The Position

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. Remote Case Manager RN (Nationwide) 100% Remote | Full‑Time | No Travel Required We’re seeking an experienced Registered Nurse Case Manager to join our remote team and help drive high‑quality, cost‑effective care for our members. In this role, you’ll use clinical expertise, critical thinking, and compassionate advocacy to coordinate care, support health behavior change, and improve outcomes—all from home.

Requirements

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company‑paid)
• 3+ years of acute hospital RN experience (medical, surgical, ER, ICU, etc.)
• Strong clinical judgment, decision‑making, and organizational skills
• Proficiency with Microsoft Word, Excel, and PowerPoint
• Ability to manage multiple priorities in a fast‑paced, remote environment
• Associate Degree in Nursing (required)

Nice To Haves

• Compact RN License
• Certified Case Manager (CCM)
• Managed care, home care, or telephonic case management experience
• BSN (preferred)

Responsibilities

• Conduct comprehensive clinical assessments and identify care coordination needs
• Develop, implement, and evaluate individualized case management plans
• Coordinate inpatient review and discharge planning as needed
• Advocate for members to maximize benefits and access appropriate services
• Use data‑driven insights to identify members for case management or alternative programs
• Engage members through coaching, education, and motivational interviewing
• Collaborate with Medical Directors and internal care teams
• Identify and escalate quality‑of‑care concerns
• Deliver an exceptional customer experience in every interaction
• Schedule Monday–Friday, 8:00 AM – 4:30 PM in your local time zone with flexibility to accommodate member calls.

Benefits

• comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees