Case Manager - Registered Nurse

CVS Health

3d • 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. Position Summary: We’re seeking an experienced Registered Nurse (RN) Case Manager to join our team in a fully remote role. In this position, you’ll partner with members to assess needs, coordinate care, and drive better health outcomes—while enjoying the flexibility of working from home.

Requirements

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company paid)
• 3+ years of acute care RN experience (medical, surgical, ICU, pediatrics, discharge planning, or case management)
• Comfort working with multiple systems/screens for extended periods
• Private, distraction-free workspace with high-speed internet
• Associate Degree in Nursing (required)

Nice To Haves

• Nurse Licensure Compact (NLC) license
• 1+ year of case management experience
• CCM certification
• Strong customer service and telephonic communication skills
• Proficiency with Microsoft Office (Word, Excel, PowerPoint)
• Bachelor of Science in Nursing (preferred)

Responsibilities

• Assess, plan, and coordinate care telephonically (and occasionally in person) to support member wellness
• Develop proactive care plans to address complex medical and social needs
• Use clinical judgment, data, and assessments to reduce risk factors and improve outcomes
• Collaborate with members and refer them to appropriate benefit programs and services
• Engage members through effective interviewing and strong communication skills
• Ensure case management activities meet regulatory and company standards

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

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