Case Manager, Registered Nurse

CVS Health

. Assess members' health status and care coordination needs .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, clinical assessments, and patient advocacy while effectively collaborating with healthcare teams to promote quality outcomes. Proficient in utilizing data-driven methods and technology to enhance patient care and operational efficiency.

Highest-signal resume keywords

Active RN License3+ Years Acute Care ExperienceCase Management Plans DevelopmentMicrosoft Office 365 ProficiencyClinical Decision-Making Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementClinical AssessmentsData-Driven MethodsPatient AdvocacyProblem-Solving SkillsTechnical Issue ResolutionHealth Literacy AssessmentMotivational InterviewingDischarge PlanningMulti-State Licensure Ability

Soft Skills

Excellent Communication SkillsRelationship-Building SkillsAbility to Manage Multiple PrioritiesProfessionalism and ConfidentialityCustomer Service Orientation

Tools & Technologies

Microsoft SuiteMicrosoft Office 365EHR PortalsVPNTeams MessagingVirtual Meeting PlatformsMultiple Monitors SetupSecure Systems NavigationEmail CommunicationCalendar Management

Certifications & Qualifications

Active RN LicenseAssociate Degree in Nursing

Industry Keywords

Healthcare CoverageQuality of CareHIPAA CompliancePatient PopulationsOperational EfficiencyCare CoordinationInpatient ReviewDischarge CriteriaBehavior Change PromotionQueue-Type Setting

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
Involve the Medical Director as indicated and close cases when discharge criteria are met
Apply data-driven methods to identify members and create individualized case management programs or referrals
Conduct comprehensive clinical assessments
Evaluate needs and develop 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 high level of customer service
Assess health literacy, technology capabilities, and readiness to change
Use influencing and motivational interviewing skills to engage members and promote lifestyle or behavior changes
Provide coaching, information, education, and support to empower independent medical and healthy lifestyle choices
Work in a queue-type setting
Manage multiple priorities and collaborate with healthcare teams
Work Monday through 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
WiFi and satellite internet are not permitted
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 residing
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 maintain computer and password security and recognize suspicious emails or links
Ability to resolve common technical issues independently
Willingness to learn 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 including keyboard, monitor, computer, and headset
100% remote work
No travel expected