Case Manager, Registered Nurse

CVS Health

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

Posted 10/30/2026full-timeRemote • New York • United StatesJuniorMid-Level💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and patient advocacy, with a strong focus on developing personalized care plans and coordinating services across healthcare providers. Proficient in utilizing clinical tools for assessment and monitoring, while ensuring compliance with regulatory standards and effective communication with stakeholders.

Highest-signal resume keywords

Active RN Licensure In New York3+ Years Clinical Practical Experience2+ Years Case Management ExperienceProficiency With Microsoft Office 365National Professional Certification Preferred

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementPatient AdvocacyCare Plan DevelopmentClinical AssessmentMedical TerminologyProblem SolvingDecision MakingDigital LiteracyTime ManagementPrioritization

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsTactfulnessEthical Handling Of Sensitive Information

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPointEHR PortalsVPNTeams MessagingVirtual MeetingsProprietary ApplicationsGoogle Workspace

Certifications & Qualifications

Active RN LicensureCRCCDMSCRRNCOHNCCM

Industry Keywords

Home Health CareChronic Illness ManagementPalliative CareMedicareDischarge PlanningCatastrophic CasesHealthcare CoordinationRegulatory CompliancePatient EducationResource Utilization

About the role

Key responsibilities & impact

Coordinate and facilitate comprehensive care for individuals by assessing needs, developing personalized care plans, and coordinating services across healthcare providers
Advocate for patients and ensure effective communication, resource utilization, and continuous progress monitoring
Serve as liaison among members/clients/families, employers, providers, insurers, and healthcare personnel
Implement and coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care
Coordinate consultant referrals, home care visits, community resources, and alternative levels of care
Interact with members/clients telephonically or in person, including in homes, worksites, or physician offices
Assess medical and vocational status and develop plans of care to optimize wellness, outcomes, functioning, and return to work
Communicate with members/clients and stakeholders including providers, attorneys, employers, and insurance carriers
Prepare required case work 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 referral-source requirements
Evaluate needs and benefit-plan eligibility using clinical tools and data
Follow case management processes and regulatory/company policies
Develop proactive action plans to improve short- and long-term outcomes
Monitor member/client progress toward desired outcomes through assessment and evaluation

Requirements

What you’ll need

Candidate preferably resides in NY
Active and unrestricted RN licensure in New York
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 and use time management and prioritization skills
Efficient computer skills, including navigating multiple systems and keyboarding
Working knowledge of problem solving, decision making, medical terminology, and digital literacy
Ability to deal tactfully with customers and community
Ability to handle sensitive information ethically and responsibly
Ability to assess relative costs and benefits of potential actions
National professional certification preferred: CRC, CDMS, CRRN, COHN, or CCM
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
Active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence (FL or OH)
Direct/hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds 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 residing
Must provide workspace furniture, such as a desk or standing desk
Must use multiple monitors and navigate multiple applications
Ability to use email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 or similar Google Workspace applications
Ability to log into secure systems such as VPN and EHR portals, maintain computer security, manage strong passwords, and identify suspicious emails or links
Ability to troubleshoot common technical issues independently
Openness to learning new workplace skills

Benefits

Comp & perks

Comprehensive medical, dental, and 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 work equipment, including keyboard, monitor, computer, and headset
Remote work arrangement
Company-provided additional benefits information during the application process