RN Case Manager

CVS Health Careers

. Coordinate all case management activities with members to evaluate medical needs .

Posted 11/5/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and clinical coordination, with a strong focus on member wellness and compliance with regulatory standards. Proficient in motivational interviewing and effective communication to build rapport and achieve performance metrics.

Highest-signal resume keywords

Current Clinical LicensureCase Management ExperienceCCM CertificationExcellent Communication SkillsTechnology Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementDocumentation ExcellenceMotivational InterviewingPerformance Metrics AchievementCompliance Standards

Soft Skills

Customer Service OrientationProblem SolvingHighly OrganizedSelf-DrivenTime Management

Certifications & Qualifications

Current Clinical LicensureCCM Certification

Industry Keywords

Managed Care OrganizationClinical Coverage PoliciesNetwork ManagementWellness StrategiesTelephonic Skills

About the role

Key responsibilities & impact

Coordinate all case management activities with members to evaluate medical needs
Facilitate the overall wellness of members
Develop strategies to address issues, achieve outcomes, and enhance members' overall wellness through integration
Instruct programs and procedures in compliance with network management and clinical coverage policies

Requirements

What you’ll need

Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
Case Management experience
Strong customer service orientation and problem solving
Excellent Communication/Telephonic skills
Excellent motivational interviewing skills/ability to built rapport and trust telephonically
Excellence in documentation and respecting compliance/regulatory standards
Highly organized, remain self-driven without direct supervision
Manage time effectively
Achieve performance metrics
Technology proficiency
Variable work schedule with ability to work 2 days weekly until 9pm local time
Bachelors Degree Required
CCM Certification (preferred)
Previous experience in Managed Care Organization (preferred)

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 range