Case Manager – Registered Nurse

CVS Health

. Assess, coordinate, and manage care for members with complex medical needs .

Posted 10/6/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Care Management and Utilization Management, with a focus on developing proactive care plans and collaborating with multidisciplinary teams to enhance health outcomes for members with complex medical needs. Holds an active RN license and possesses significant clinical experience, including critical care and case management.

Highest-signal resume keywords

Active RN License5+ Years RN Clinical Practice ExperienceCase Management Certification (CCM)2+ Years Critical Care Experience6+ Months Case Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementUtilization ManagementClinical JudgmentHealth CoachingProactive Care PlanningTransplant Nursing ExperienceEHR Portal AccessTechnical TroubleshootingInternet Speed ComplianceHIPAA Compliance

Soft Skills

CollaborationCommunicationProblem-SolvingAdaptabilityEngagement

Tools & Technologies

Microsoft Office 365Google WorkspaceVPN AccessTelephonic CommunicationMultiple Monitors

Certifications & Qualifications

Case Management Certification (CCM)Associate Degree in NursingBSN (Preferred)

Industry Keywords

Complex Medical NeedsMultidisciplinary TeamsHealth OutcomesCare PlansClinical Barriers

About the role

Key responsibilities & impact

Assess, coordinate, and manage care for members with complex medical needs
Develop proactive care plans to improve short- and long-term health outcomes
Identify clinical, social, and functional barriers impacting care
Collaborate with healthcare providers and multidisciplinary teams
Apply clinical judgment to utilization and care management decisions
Engage members through telephonic care management and health coaching
Support members with complex healthcare needs through Case Management and Utilization Management
Partner with members, providers, and interdisciplinary teams to promote wellness and improve outcomes

Requirements

What you’ll need

Active, unrestricted Compact RN license in state of residence
5+ years of RN clinical practice experience
2+ years of critical care experience
6+ months of Case Management or Utilization Management experience
Ability to work Monday-Friday, 8:00 AM-5:00 PM in your local time zone
Willingness to obtain additional state RN licenses
Associate Degree in Nursing required
Case Management Certification (CCM or equivalent) preferred
Transplant nursing experience preferred
BSN preferred
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
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Ability to work within the state and city where currently residing
Experience with multiple monitors and 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 in to secure systems such as VPN and EHR portals
Ability to maintain computer security, strong passwords, and identify suspicious emails or links
Ability to troubleshoot common technical issues independently
Openness to learning new skills as the workplace evolves

Benefits

Comp & perks

100% remote work environment
No nights, weekends, or holidays currently required
Company-sponsored multi-state licensure
Company-paid additional state RN licenses
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
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 eligibility