Case Manager, Registered Nurse

CVS Health

. Apply data-driven methods to identify members and create individualized case management programs or referrals .

Posted 10/17/2026full-timeRemote • United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, clinical assessments, and patient advocacy while utilizing strong problem-solving and communication skills to enhance member engagement and promote health outcomes. Proficient in managing sensitive information and collaborating effectively within diverse healthcare teams.

Highest-signal resume keywords

Active RN License3+ Years Acute Care ExperienceClinical Decision-Making SkillsMicrosoft Office 365 ProficiencyCase Management Plan Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsCase ManagementPatient AdvocacyMotivational InterviewingCare CoordinationDischarge PlanningHealth Literacy AssessmentProblem-SolvingTechnical Issue ResolutionMultiple Application Navigation

Soft Skills

Excellent CommunicationRelationship-BuildingProfessionalismAdaptabilityTeam Collaboration

Tools & Technologies

Microsoft SuiteMicrosoft Office 365EHR PortalsVPNSecure Systems

Certifications & Qualifications

Active RN LicenseAssociate Degree in Nursing

Industry Keywords

Healthcare CoverageQuality of CareHIPAA CompliancePatient PopulationsVirtual Work Environment

About the role

Key responsibilities & impact

Apply data-driven methods to identify members and create individualized case management programs or referrals
Conduct comprehensive clinical assessments
Evaluate needs and develop flexible approaches based on member needs, benefit plans, or external programs and services
Advocate for patients within existing healthcare coverage
Promote quality, cost-effective outcomes and suggest improvements to program and operational efficiency
Identify and escalate quality-of-care issues through established channels
Provide a very high level of customer service
Assess members’ health literacy, technology capabilities, and readiness to change
Use influencing and motivational interviewing skills to maximize member engagement and promote lifestyle and behavior changes
Provide coaching, information, education, and support to empower members to make independent medical and healthy lifestyle choices
Coordinate care, conduct inpatient review, and perform discharge planning
Develop, implement, monitor, and evaluate case management plans
Involve the Medical Director as indicated and close cases when discharge criteria are met
Work collaboratively in a queue-type setting while managing multiple priorities

Requirements

What you’ll need

Active and unrestricted RN license in the state of residence
Ability to obtain multi-state licensure upon hire
3+ years of acute care experience as an RN
3+ years of experience with Microsoft Suite of products
Strong problem-solving and clinical decision-making skills
Ability to manage sensitive information with professionalism and confidentiality
Excellent communication and relationship-building skills
Ability to work effectively with diverse patient populations and healthcare teams
Minimum of Associate Degree in Nursing required
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
Work within the state and city where the employee currently lives
Own workspace furniture, such as a desk or standing desk
Ability to set up and use multiple monitors and navigate multiple 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 resolve common technical issues independently and contact IT when needed
Openness to learning new skills as the workplace environment evolves

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
Company-provided equipment (keyboard, monitor, computer, headset, etc.)