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. Make a meaningful impact on patient wellness—beyond the bedside. We’re seeking a compassionate and clinically strong Registered Nurse (RN) Case Manager to support members through complex health journeys. In this role, you’ll use your clinical expertise and critical thinking to guide care, remove barriers, and improve overall health outcomes—while working in a flexible, structured environment.
Requirements
- Active, unrestricted RN license in your state of residence
- Willingness to obtain additional state licenses (fully funded)
- 3+ years acute care experience (med-surg, ICU, or post-surgical)
- Strong clinical judgment and communication skills
- Comfort with Microsoft Office tools and telephonic care management
- Proficiency with computer systems and technology (MS Office Suite)
- Associates Degree in Nursing
Nice To Haves
- Case management or home health experience
- Compact RN license
- Certified Case Manager (CCM) credential
- BSN degree
Responsibilities
- Conduct comprehensive assessments using clinical tools, data, and member interaction
- Develop proactive care plans that address medical, social, and functional needs
- Identify and reduce health risks while coordinating care across programs and services
- Review claims and clinical history to support effective case management
- Engage members via phone to understand needs and drive participation in care plans
- Partner with interdisciplinary teams and participate in case conferences
- Ensure compliance with regulatory and organizational guidelines
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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
