Case Manager, Registered Nurse – Compact RN License

CVS Health Careers

. Facilitate delivery of appropriate benefits and healthcare information .

Posted 11/11/2026full-timeRemote • Kansas • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical care coordination, case management, and wellness program implementation, with a strong focus on supporting Medicare members. Proficient in utilizing technology for communication and secure system access while maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Clinical Practical ExperienceCase Management ExperienceActive RN LicenseMicrosoft Office 365 ProficiencyAnalytical And Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Care CoordinationCase ManagementDischarge PlanningHealth Strategy DevelopmentEligibility DeterminationWellness Program ImplementationEHR AccessTechnical Issue ResolutionMulti-Monitor SetupInternet Connection Management

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsAbility To Work IndependentlyOpenness To Learning

Tools & Technologies

Microsoft Office 365Google WorkspaceVPNEHR PortalsTeams Messaging

Certifications & Qualifications

Compact RN LicenseNational Professional Certification (CRC, CDMS, CRRN, COHN, CCM)

Industry Keywords

MedicareDiabetesCHFCKDPost-Acute CareHospicePalliative CareCardiac CareHIPAA ComplianceNetwork Management

About the role

Key responsibilities & impact

Facilitate delivery of appropriate benefits and healthcare information
Determine eligibility for benefits
Promote wellness activities
Develop, implement, and support health strategies, tactics, policies, and programs
Ensure delivery of benefits
Establish overall member wellness and support successful, timely return to work
Support services and strategies involving network management and clinical coverage policies

Requirements

What you’ll need

Candidate must be located in the Central Time Zone (CST)
3+ years of clinical practical experience required
Preferred clinical backgrounds include diabetes, CHF, CKD, post-acute care, hospice, palliative care, and cardiac care with Medicare members
2+ years of case management, discharge planning and/or home health care coordination experience
Associate's Degree in Nursing required
Active and unrestricted Compact Registered Nurse (RN) License in the state of residence
Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of the computer
Minimum internet speed of 25 Mbps download and 3 Mbps upload
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
Must provide own workspace furniture
Comfortable setting up and using multiple monitors and navigating multiple applications
Ability to use 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 maintain computer and password security and recognize suspicious emails or links
Ability to resolve common technical issues independently
Openness to learning new skills as the workplace evolves
Preferred: Bachelor's Degree in Nursing
Preferred: Excellent analytical and problem-solving skills
Preferred: Effective communication, organizational, and interpersonal skills
Preferred: Ability to work independently
Preferred: Willingness and ability to obtain multi-state RN licenses if needed
Preferred: Bilingual
Preferred: National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

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 eligibility
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Company reimbursement for expenses related to obtaining multi-state RN licenses if needed