Case Manager RN - Must reside in North Carolina

CVS Health•Carolina, NC

2d•Remote

About The Position

CVS Health is hiring a remote RN Case Manager who must reside in North Carolina. The role uses nursing expertise to guide members through their healthcare journeys and improve health outcomes. The Case Manager conducts telephonic assessments, develops and coordinates personalized care plans, collaborates with healthcare providers and multidisciplinary teams, applies clinical judgment to complex health conditions, supports transitions of care, connects members with resources, and maintains compliance with regulatory and company case management standards. The position is 100% remote, with a Monday–Friday schedule from 9:00 AM to 5:30 PM EST. Occasional evening, weekend, and holiday work may be required, along with limited travel of up to 10%. The role requires a quiet, secure, private home workspace that meets company and HIPAA guidelines, along with a wired internet connection meeting specified speed requirements. CVS Health provides computer equipment and related peripherals; employees provide their own workspace furniture. The position is full-time, with 40 anticipated weekly hours.

Requirements

Active, unrestricted RN license in North Carolina.
Must reside in North Carolina and work within the state and city where currently living.
At least 2 years of RN clinical experience.
Associate Degree in Nursing.
Experience in a clinical setting; examples include ICU, NICU, Emergency Department, Med/Surg, Telemetry, OR, Home Health, Hospice, Long-Term Care, Infusion, and Orthopedics.
Strong communication and member engagement skills.
Must have or be able to obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with at least 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
Must maintain a quiet, secure, private, organized home workspace compliant with CVS Health and HIPAA guidelines and suitable for uninterrupted work.
Must provide workspace furniture, such as a desk or standing desk, and be able to work at a desk for extended periods.
Ability to set up and use multiple monitors and navigate multiple applications simultaneously.
Ability to communicate through email, calendar invitations, Teams messaging, and virtual meetings.
Ability to use Microsoft Office 365 applications or similar tools such as Google Workspace.
Ability to log in to secure systems such as a VPN or EHR portal, secure a computer, manage strong passwords, and recognize suspicious emails or links.
Ability to troubleshoot common technical issues and openness to learning new skills as the workplace evolves.

Nice To Haves

Certified Case Manager (CCM).
Bachelor of Science in Nursing (BSN).
Case Management or Managed Care experience.
Discharge Planning experience.
Proficiency with Microsoft Office Suite.

Responsibilities

Conduct telephonic assessments to identify members’ medical, behavioral, and social needs.
Develop and coordinate personalized care plans to support overall wellness.
Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care.
Use clinical judgment to address complex health conditions and improve outcomes.
Support members through transitions of care and connect them with appropriate resources.
Maintain compliance with regulatory and company case management standards.
Use digital communication and collaboration tools, navigate multiple applications, and access secure systems while following security practices.
Resolve common technical issues independently and contact IT for issues that cannot be resolved.

Benefits

Remote work flexibility.
Professional growth in care management.
Company-paid support for obtaining additional state RN licenses.
Medical coverage.
Dental coverage.
Vision coverage.
Paid time off.
Retirement savings options.
Wellness programs.
Other resources to support colleagues’ and families’ physical, emotional, and financial well-being, based on eligibility.
Eligible for a CVS Health bonus, commission, or short-term incentive program.