Case Manager, Registered Nurse

CVS Health

. Assess, plan, implement, and coordinate care for members telephonically and/or virtually .

Posted 10/27/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $32 - $69 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in telephonic and virtual care coordination, developing individualized care plans, and applying clinical judgment to manage complex health conditions. Proficient in using multiple computer applications and maintaining compliance with HIPAA guidelines.

Highest-signal resume keywords

Active RN License3+ Years Acute Care RN ExperienceCase Management ExperienceCertified Case Manager (CCM)Microsoft Office 365 Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationClinical JudgmentMotivational InterviewingHealth Outcome AssessmentCare Plan DevelopmentTechnical TroubleshootingEHR Portal AccessVPN LoginInternet Speed ComplianceMultiple Monitor Usage

Soft Skills

Customer Service SkillsPhone-Based Communication SkillsMember Engagement Skills

Tools & Technologies

Microsoft Office 365Google WorkspaceSecure SystemsVirtual Meeting PlatformsEmail Communication

Certifications & Qualifications

Active RN LicenseCompact RN LicenseCertified Case Manager (CCM)

Industry Keywords

TelehealthHIPAA ComplianceAcute CareCare ManagementCommunity Resources

About the role

Key responsibilities & impact

Assess, plan, implement, and coordinate care for members telephonically and/or virtually
Develop individualized care plans and wellness strategies
Identify clinical and social barriers to health outcomes
Connect members with programs, benefits, and community resources
Apply clinical judgment to manage complex health conditions and reduce risk factors
Engage members through communication and motivational interviewing techniques
Work in a queue-like setting
Partner with members, providers, and care teams to coordinate care and improve patient outcomes
Work Monday-Friday, 9:00 AM-5:30 PM EST
Participate in occasional on-call weekends and holidays on a volunteer basis
Travel less than 5% for meetings, training, or licensure requirements

Requirements

What you’ll need

Must live in California
Active, unrestricted RN license in your state of residence
Willingness to obtain additional state licenses
3+ years of acute care RN experience
Comfort working with multiple computer applications and monitors
Associate Degree in nursing
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 virtual work location 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 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 log in to secure systems such as VPN and EHR portals
Ability to follow computer security practices, manage strong passwords, and recognize suspicious emails or links
Ability to troubleshoot common technical issues independently
Preferred: Compact RN license
Preferred: BSN
Preferred: 1+ year of case management experience
Preferred: Certified Case Manager (CCM) certification
Preferred: Strong customer service and member engagement skills
Preferred: Excellent phone-based communication skills
Prefer candidates living in MST or PST

Benefits

Comp & perks

Company-paid additional state licensure
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
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