Case Manager, Registered Nurse

CVS Health

. Coordinate and facilitate comprehensive care for individuals .

Posted 10/30/2026full-timeRemote • Michigan • United StatesJuniorMid-Level💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating comprehensive care and developing personalized care plans for individuals, with a strong focus on case management and effective communication across healthcare providers. Proficient in utilizing clinical tools and data to assess needs and monitor progress toward wellness outcomes.

Highest-signal resume keywords

Active RN Licensure in Michigan3+ Years of Clinical Practical Experience2+ Years of Case Management ExperienceProficiency with Microsoft Office SuiteKnowledge of Medical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementCare CoordinationClinical AssessmentCondition ManagementWellness EvaluationDocumentation PreparationBenefit Plan Eligibility EvaluationTelephonic CommunicationHome Health CareDischarge Planning

Soft Skills

Time ManagementPrioritizationEthical Handling of InformationAdaptabilityCommunication

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPointGoogle WorkspaceVPN AccessEHR PortalsDigital Communication ToolsProprietary ApplicationsMultiple Monitor Setup

Certifications & Qualifications

Active RN LicensureNational Professional Certification (Preferred)Associate's Degree in NursingBachelor's Degree in Nursing (Preferred)

Industry Keywords

Healthcare CoordinationPatient AdvocacyChronic Illness ManagementMedicareHIPAA Compliance

About the role

Key responsibilities & impact

Coordinate and facilitate comprehensive care for individuals
Assess member needs and develop personalized care plans
Coordinate services across healthcare providers
Advocate for patients and ensure effective communication and resource utilization
Serve as liaison among members, families, employers, providers, insurance companies, and healthcare personnel
Coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care
Conduct telephonic and in-person interactions, including possible home, worksite, or physician-office visits
Assess medical and/or vocational status and facilitate condition management, wellness, medical outcomes, return to work, and benefits eligibility
Communicate with members and stakeholders, including medical 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 applicable laws, regulations, insurer instructions, and referral-source requirements
Evaluate needs and benefit-plan eligibility using clinical tools and data
Monitor member progress toward desired outcomes
Develop proactive actions to improve short- and long-term outcomes and overall wellness

Requirements

What you’ll need

Candidate preferably resides in Michigan
Active and unrestricted RN licensure in Michigan
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
Strong computer skills, including navigating multiple systems and keyboarding
Working knowledge of medical terminology and digital literacy
Ability to work in a fast-paced, high-volume environment
Time management and prioritization skills
Ability to handle sensitive information ethically and responsibly
Associate's Degree in Nursing (REQUIRED)
Active and unrestricted Compact Registered Nurse (RN) Licensure in the state of residence (MI)
Direct/hardwired internet connection within 7 feet of the modem/router, 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
Ability to work within the state and city where currently residing
Ability to set up and use multiple monitors and navigate multiple applications
Ability to use digital communication tools, Microsoft Office 365 or Google Workspace
Ability to access secure systems such as VPN and EHR portals and follow security practices
Ability to troubleshoot common technical issues
Openness to learning new skills
Preferred: national professional certification (CRC, CDMS, CRRN, COHN, or CCM)
Preferred: bilingual Spanish
Bachelor's Degree in Nursing (PREFERRED)

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
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
CVS Health bonus, commission or short-term incentive program eligibility