Case Manager, Registered Nurse

CVS Health Careers

. Coordinate and facilitate comprehensive care by assessing member needs, developing personalized care plans, and coordinating services across healthcare providers .

Posted 11/2/2026full-timeRemote • Florida • United StatesJuniorMid-Level💰 $54,095 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management and care coordination, with a strong focus on developing personalized care plans and advocating for patients. Proficient in utilizing clinical tools and data to assess needs and optimize medical outcomes while ensuring compliance with healthcare regulations.

Highest-signal resume keywords

Active Registered Nurse (RN) LicensureCase Management ExperienceClinical Practical ExperienceProficiency in Microsoft Office SuiteNational Professional Certification (CRC, CDMS, CRRN, COHN, CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementCare CoordinationClinical AssessmentMedical TerminologyProblem-Solving SkillsDecision-Making SkillsDigital Literacy SkillsTime ManagementPrioritization SkillsAnalytical Skills

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsTactfulnessEthical Handling of Information

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPointEHR PortalsVPN AccessGoogle Workspace ApplicationsMultiple Monitors

Certifications & Qualifications

Registered Nurse (RN)National Professional Certification (CRC, CDMS, CRRN, COHN, CCM)

Industry Keywords

Healthcare CoordinationPatient AdvocacyChronic Illness ManagementHome Health CareMedicare

About the role

Key responsibilities & impact

Coordinate and facilitate comprehensive care by assessing member needs, developing personalized care plans, and coordinating services across healthcare providers
Advocate for patients and ensure effective communication, resource utilization, and continuous progress monitoring
Act as liaison among members/clients/families, employers, providers, insurance companies, and healthcare personnel
Coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care
Arrange consultant referrals, home care visits, community resources, and alternative levels of care
Interact with members by telephone or in person, including visits to homes, worksites, or physician offices when required
Assess medical and vocational status and develop care plans to optimize wellness, medical outcomes, return to work, and functional outcomes
Communicate with medical providers, attorneys, employers, and insurance carriers
Prepare required casework documentation
Consult with internal multidisciplinary teams
Contact treating physicians or specialists regarding care and treatment
Provide education and prevention information
Apply laws, regulations, insurer instructions, and company policies governing rehabilitation and case management
Evaluate needs and benefit-plan eligibility using clinical tools and data
Develop proactive action plans and monitor progress toward desired outcomes

Requirements

What you’ll need

Active and unrestricted Compact Registered Nurse (RN) Licensure in the state of residence (PA, OH, FL, NJ, GA, NC, TX, CT)
3+ years of clinical practical experience preferred, including diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, or home health, with Medicare members
2+ years of case management, discharge planning and/or home health care coordination experience
Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications
Ability to work in a fast-paced, high-volume environment using time management and prioritization skills
Efficient computer skills, including navigating multiple systems and keyboarding
Working knowledge of problem-solving and decision-making skills
Working knowledge of medical terminology
Working knowledge of digital literacy skills
Ability to deal tactfully with customers and community
Ability to handle sensitive information ethically and responsibly
Ability to evaluate relative costs and benefits of potential actions
National professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred
Excellent analytical and problem-solving skills preferred
Effective communication, organizational, and interpersonal skills preferred
Bilingual Spanish preferred
Associate's Degree in Nursing required
Bachelor's Degree in Nursing preferred
Direct/hardwired internet connection within 7 feet of the modem/router, with minimum 25 Mbps download and 3 Mbps upload
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Ability to work within the state and city where currently living
Ability to use multiple monitors and applications
Experience with Microsoft Office 365 or similar Google Workspace applications
Ability to access secure systems such as VPN and EHR portals and follow security practices
Ability to troubleshoot common technical issues and contact IT when necessary
Openness to learning new skills as the workplace evolves

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program in addition to base pay
Company-provided equipment (keyboard, monitor, computer, headset, etc.)