Case Manager Registered Nurse
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 RN Case Manager (100% Remote) Work from anywhere in the U.S. Are you a compassionate Registered Nurse who enjoys helping members navigate complex healthcare needs? Join our team as a Remote RN Case Manager and make a meaningful impact on health outcomes through care coordination, advocacy, and clinical expertise.
Requirements
- Active, unrestricted RN license in your state of residence
- Ability to obtain licensure in non-compact states as needed (Company paid)
- 3+ years of clinical nursing experience
- Associate degree in Nursing (BSN degree preferred)
- 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.
- 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
Nice To Haves
- Compact RN license
- Case management experience
- Case Management Certification (CCM or equivalent)
- Strong computer skills, including Microsoft Office proficiency
Responsibilities
- Conduct telephonic case management assessments and care planning
- Evaluate members' medical, behavioral, and social needs using a holistic approach
- Develop individualized care plans to improve health outcomes and overall wellness
- Coordinate care, facilitate referrals, and help members access appropriate resources
- Identify barriers to care and implement strategies to reduce risks and improve engagement
- Collaborate with interdisciplinary teams to support members with complex health conditions
- Ensure compliance with regulatory requirements and company policies
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
