Case Manager Registered Nurse

CVS Health • Fort Worth, TX

4d • $54,095 - $129,615 • Remote

About The Position

CVS Health is seeking a compassionate, results-driven Case Manager Registered Nurse to coordinate personalized, high-quality care for members in a 100% remote, nationwide role with no travel required. The position uses clinical expertise, data-driven insights, and member advocacy to support optimal, cost-effective health outcomes. The schedule is Monday through Friday, 9:00 AM to 5:30 PM in the employee’s local time zone, with a late shift until 6:00 PM once per month. The role is full-time, with 40 anticipated weekly hours.

Requirements

• Active, unrestricted RN license in the state of residence.
• Willingness to obtain additional state licenses; the company pays for them.
• At least 3 years of acute care RN experience.
• Strong clinical judgment, decision-making, and organizational skills.
• Associate Degree in Nursing.

Nice To Haves

• Med-Surg or Critical Care experience is preferred.
• Compact or multi-state RN license.
• Certified Case Manager (CCM).
• Telephonic case management or telephonic clinical experience.
• Bachelor of Science in Nursing (BSN).

Responsibilities

• 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 an exceptional customer experience while collaborating with care teams and Medical Directors.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support physical, emotional, and financial well-being, based on eligibility
• CVS Health bonus, commission, or short-term incentive program eligibility

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree