Case Manager, Registered Nurse

CVS Health

. Act as a liaison with members/clients/families, employers, providers, insurance companies, and healthcare personnel .

Posted 9/15/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management for catastrophic and chronically ill clients, with a focus on developing care plans, assessing medical and vocational needs, and ensuring compliance with rehabilitation-service laws. Strong communication skills are essential for liaising with clients, healthcare providers, and insurance companies.

Highest-signal resume keywords

Active Registered Nurse (RN) Licensure2+ Years of Care Management Experience2+ Years of Medicare ExperienceCertified Case Manager (CCM) PreferredAssociate’s Degree in Nursing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementMedical AssessmentCare Plan DevelopmentBenefit Eligibility EvaluationClinical Tools Utilization

Soft Skills

CommunicationInterpersonal SkillsMulticultural Competence

Certifications & Qualifications

Compact Registered Nurse (RN) LicensureCertified Case Manager (CCM)National Professional Certification (CRC, CDMS, CRRN, COHN)

Industry Keywords

Rehabilitation-Service LawsChronic Illness ManagementWellness ProgramsInsurance CoordinationGeriatric Care

About the role

Key responsibilities & impact

Act as a liaison with members/clients/families, employers, providers, insurance companies, and healthcare personnel
Implement and coordinate case management activities for catastrophic cases and chronically ill members/clients across the continuum of care
Interact with members/clients telephonically or in person, including potentially meeting in homes, worksites, or physician’s offices
Assess and analyze injured, acute, or chronically ill members’/clients’ medical and/or vocational status
Develop plans of care to support condition management, wellness, medical outcomes, return to work, and benefit eligibility
Communicate with members/clients 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 rehabilitation-service laws, regulations, insurer instructions, and referral-source requirements
Evaluate needs and benefit-plan eligibility using clinical tools and data
Monitor progress toward desired outcomes through assessment and evaluation
Develop proactive courses of action to improve short- and long-term outcomes and overall wellness

Requirements

What you’ll need

Candidate must reside in an Eastern Standard Time Zone (EST) state
Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in state of residence
2+ years of experience in care management
2+ years of Medicare experience
Associate’s Degree in Nursing AND relevant experience in a health care-related field (REQUIRED)
Geriatric experience preferred
Experience working in a multicultural setting, or personal multicultural experience preferred
Certified Case Manager preferred
National professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred
Bachelor’s Degree in Nursing preferred

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility