Case Manager, Registered Nurse

CVS Health

. Assess members’ health status and care coordination needs .

Posted 10/17/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, including conducting clinical assessments, developing care plans, and advocating for patients. Proficient in utilizing data-driven methods and digital communication tools to enhance patient engagement and operational efficiency.

Highest-signal resume keywords

Active RN License3+ Years Acute Care ExperienceCase Management SkillsMicrosoft Office 365 ProficiencyExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCare CoordinationData-Driven MethodsProblem-Solving SkillsTechnical Issue Resolution

Soft Skills

Relationship-Building SkillsMotivational InterviewingCustomer Service OrientationAdaptabilityConfidentiality Management

Tools & Technologies

Microsoft SuiteEmail CommunicationVirtual Meeting ToolsEHR PortalsVPN Access

Certifications & Qualifications

RN LicenseAssociate Degree in Nursing

Industry Keywords

Healthcare CoveragePatient AdvocacyQuality ImprovementHIPAA ComplianceDiverse Patient Populations

About the role

Key responsibilities & impact

Assess members’ health status and care coordination needs
Conduct inpatient review and discharge planning
Develop, implement, monitor, and evaluate case management plans
Apply data-driven methods to identify members for individualized case management programs or alternative healthcare 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 engagement and promote lifestyle and behavior changes
Provide coaching, information, education, and support to empower members to make independent medical and healthy lifestyle choices
Involve the Medical Director as indicated and close cases when discharge criteria are met
Manage multiple priorities in a queue-type setting
Work Monday–Friday between 8:00 a.m. and 5:00 p.m. in the time zone of residence, with rotational evening, weekend, and holiday coverage as needed

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, with minimum speeds of 25 Mbps download and 3 Mbps upload
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 set up and use multiple monitors and navigate multiple applications simultaneously
Ability to use digital communication tools such as email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 applications or similar Google Workspace tools
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
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 including keyboard, monitor, computer, and headset
100% remote work
No travel expected