Case Manager, Registered Nurse (Maricopa County, Arizona Candidates Only)

CVS Health•Phoenix, AZ
•$60,522 - $129,615•Remote

About The Position

The Case Manager Registered Nurse is a work-from-home position requiring travel to visit members within Maricopa County, Arizona. The role coordinates, documents, and communicates all aspects of the utilization and benefit management program. It applies clinical critical thinking, evidence-based care, and medical necessity criteria to support clinically appropriate treatment. The Case Manager provides members with care coordination, support, and education using care management tools and resources.

Requirements

  • At least 2 years of experience in a clinical setting.
  • Active RN license valid in Arizona.
  • Must reside in Maricopa County, Arizona.
  • Ability to travel up to 25% of the time within Maricopa County, Arizona.
  • Associate’s degree.

Nice To Haves

  • At least 2 years of experience in case management.
  • Strong organizational and time management skills.
  • Ability to collaborate with internal and external partners.
  • Demonstrated proficiency in Microsoft Office Suite, including Outlook and Word.
  • Previous experience collaborating with medical professionals.
  • Bilingual in English and Spanish.
  • Bachelor’s degree in Nursing.

Responsibilities

  • Coordinate, document, and communicate all aspects of the utilization and benefit management program.
  • Apply critical thinking, evidence-based care, and medical necessity criteria to support clinically appropriate treatment.
  • Provide members with care coordination, support, and education using care management tools and resources.
  • Travel within Maricopa County, Arizona, to visit members.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • CVS Health bonus, commission, or short-term incentive program eligibility
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