Case Manager, Registered Nurse

CVS Health

. Assess members through regular in-person or telephonic contact .

Posted 9/22/2026full-timeKentucky • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical assessment, case management, and patient care coordination, with a strong focus on improving health outcomes through evidence-based practices and effective communication. Proficient in utilizing clinical judgment and motivational interviewing to engage members and address complex health needs.

Highest-signal resume keywords

RN License In KentuckyClinical AssessmentCase ManagementMotivational InterviewingManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient Care CoordinationHealth AssessmentsDischarge PlanningData ReviewComprehensive Care PlansKnowledge Of Complex Medical ConditionsBehavioral Health ServicesCrisis InterventionEvidence-Based PracticesAge-Appropriate Developmental Milestones

Soft Skills

Effective Verbal CommunicationEffective Written CommunicationFlexibilityProblem-Solving

Tools & Technologies

MS Office SuiteTeamsOutlookWordExcel

Certifications & Qualifications

Associates Degree In NursingDiploma RNBSN Preferred

Industry Keywords

Kentucky Foster CareJuvenile Justice SystemsTrauma-Informed CareACEsIntegrated Model Case Management

About the role

Key responsibilities & impact

Assess members through regular in-person or telephonic contact
Plan, implement, and coordinate case management activities
Evaluate members’ medical, psychosocial, physical, behavioral, and functional needs
Develop proactive courses of action to improve short- and long-term health outcomes and wellness
Use clinical assessment tools and data review to evaluate needs and benefit-plan eligibility
Apply clinical judgment to reduce risk factors and address complex health and social barriers
Integrate assessment data from care partners and address comorbidities and multiple diagnoses
Create, monitor, and revise comprehensive member care plans
Review prior claims for potential impact on case management and eligibility
Assess functional capacity and restrictions or limitations
Refer members to additional clinical resources when needed
Consult with supervisors and care partners to overcome barriers
Present cases at multidisciplinary case conferences
Follow regulatory and company case-management policies and procedures
Use motivational interviewing to engage members and assess health needs
Support members in participating knowledgeably in healthcare decision-making
Work in a field-based environment with productivity and quality expectations
Travel routinely throughout the Two Rivers Region and attend Louisville office meetings and training

Requirements

What you’ll need

3+ years’ clinical practice experience including patient care coordination and health assessments
RN with current unrestricted state licensure in KY
2+ years’ experience using personal computers, keyboard navigation, multiple systems and applications, and MS Office Suite applications including Teams, Outlook, Word, and Excel
Reliable transportation and willingness and ability to travel in-state up to 80–90% of the time
Valid KY driver’s license and proof of vehicle insurance
Flexibility to work beyond core business hours of Monday–Friday, 8am–5pm CST
Must reside in one of the specified Two Rivers Region counties in Kentucky
Minimum of an Associates degree in Nursing or Diploma RN
BSN preferred
Preferred knowledge or experience with Kentucky Foster Care and juvenile justice systems, Adoption Assistance, Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices
Case Management in an integrated model
Discharge Planning experience
Motivational Interviewing skills
Managed Care/Utilization Review experience
Knowledge of age-appropriate developmental milestones
Knowledge of complex medical conditions and treatment plans
Effective verbal and written communication skills
Bilingual ability preferred

Benefits

Comp & perks

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