Case Manager, Registered Nurse

CVS Health Careers

. Deliver comprehensive case management services through telephonic and/or face-to-face interactions .

Posted 11/11/2026full-timeRemote • Idaho • United StatesMid-LevelSenior💰 $54,095 - $116,760 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 acute care nursing, with a focus on developing proactive care plans and conducting holistic assessments. Proficient in utilizing clinical judgment and data-driven tools to evaluate member needs and optimize care strategies.

Highest-signal resume keywords

Active RN License3+ Years Acute Care ExperienceCase Management ExpertiseHolistic Assessment SkillsMicrosoft Office 365 Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Case Management ProcessesCare Plan DevelopmentClinical JudgmentData-Driven EvaluationHolistic AssessmentsReferral DeterminationHealth Risk IdentificationCo-Morbid Condition ManagementWork Capacity EvaluationTransition Facilitation

Soft Skills

Communication SkillsCollaboration SkillsProblem-Solving SkillsInterpersonal SkillsOrganizational Skills

Tools & Technologies

EHR PortalsVPN AccessMultiple MonitorsMicrosoft Office 365Google Workspace

Certifications & Qualifications

Active RN LicenseAssociate's Degree in Nursing

Industry Keywords

Telephonic Case ManagementClinical Coverage GuidelinesHIPAA ComplianceSocial Determinants of HealthMed/Surg Experience

About the role

Key responsibilities & impact

Deliver comprehensive case management services through telephonic and/or face-to-face interactions
Assess, plan, implement, and coordinate care strategies supporting members' medical needs and overall wellness
Apply case management processes and service strategies aligned with network management and clinical coverage guidelines
Interview and engage members to understand needs and facilitate transitions to appropriate programs and services
Use clinical judgment and data-driven tools to evaluate member eligibility and identify health risks
Develop proactive care plans addressing short- and long-term health outcomes
Conduct holistic assessments of co-morbid conditions, functional limitations, and social determinants of health
Review prior claims and evaluate work capacity
Determine the need for referrals to clinical resources
Collaborate with supervisors and multidisciplinary teams to overcome barriers and optimize care planning

Requirements

What you’ll need

Active and unrestricted RN license in the state of residence
Willing and able to obtain additional state licenses upon hire
3+ years' experience of acute care and/or case management
2+ years' Med/Surg experience
Associate's Degree in Nursing
Willingness to work Monday-Friday, 8:00am-4:30pm local time zone
Minimum 25 Mbps download and 3 Mbps upload internet speed
Direct/hardwired internet connection to a modem/router within 7 feet of the computer; WiFi and satellite internet are not permitted
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Ability to use multiple monitors and navigate multiple applications simultaneously
Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 applications or similar Google Workspace applications
Ability to access secure systems such as VPN and EHR portals
Ability to follow computer security practices, including screen locking, strong passwords, and recognizing suspicious emails or links
Ability to troubleshoot common technical issues and contact IT when needed

Benefits

Comp & perks

Company-paid additional state licenses upon hire
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Company-provided equipment including keyboard, monitor, computer, and headset
CVS Health bonus, commission or short-term incentive program eligibility