Case Manager, Registered Nurse

CVS Health

. Assess member health status and care coordination needs .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, including conducting clinical assessments, developing individualized care plans, and advocating for patients. Proficient in utilizing technology for effective communication and managing sensitive information while ensuring compliance with healthcare regulations.

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 AssessmentCase Management PlanningProblem-Solving SkillsMotivational InterviewingData-Driven Member IdentificationPatient AdvocacyHealthcare Coverage KnowledgeTechnical Issue ResolutionEHR Portal AccessVPN Access

Soft Skills

Relationship-Building SkillsCustomer Service OrientationProfessionalismAdaptabilityTeam Collaboration

Tools & Technologies

Microsoft SuiteMicrosoft Office 365Google WorkspaceSecure Systems AccessMultiple Monitors Usage

Certifications & Qualifications

Active RN LicenseAssociate Degree in Nursing

Industry Keywords

HealthcareCase ManagementPatient Care CoordinationHIPAA ComplianceQuality Improvement

About the role

Key responsibilities & impact

Assess member health status and care coordination needs
Conduct inpatient review and discharge planning
Develop, implement, monitor, and evaluate case management plans
Involve the Medical Director as indicated and close cases when discharge criteria are met
Identify members using data-driven methods 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/services
Advocate for patients within existing healthcare coverage
Promote quality, cost-effective outcomes and suggest program or operational efficiency improvements
Identify and escalate quality-of-care issues
Provide a very high level of customer service
Assess health literacy, technology capabilities, and readiness to change
Use influencing and motivational interviewing skills to maximize member engagement
Provide coaching, information, education, and support for independent medical and healthy lifestyle choices
Work in a queue-type setting during Monday–Friday hours with rotational evening, weekend, and holiday coverage

Requirements

What you’ll need

Active and unrestricted RN license in 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 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 modem/router within 7 feet of computer
Minimum internet speed of 25 Mbps download and 3 Mbps upload
WiFi and satellite internet are not permitted
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Ability to work within the state and city where currently residing
Ability to use multiple monitors and 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 access secure systems such as VPN and EHR portals
Ability to follow computer security practices, including strong passwords and recognizing suspicious emails or links
Ability to resolve common technical issues independently
Openness to learning new skills as the workplace 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.)