Case Manager – Registered Nurse, Compact RN License

CVS Health

. Facilitate delivery of appropriate benefits and healthcare information to determine benefit eligibility .

Posted 11/11/2026full-timeRemote • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical care coordination, case management, and benefit eligibility determination, with a strong focus on member wellness and effective communication in a virtual work environment.

Highest-signal resume keywords

Clinical Practical ExperienceCase Management ExperienceRegistered Nurse LicenseMicrosoft Office 365 ProficiencyAnalytical Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Care CoordinationBenefit Eligibility DeterminationDischarge PlanningHealth Strategies DevelopmentReturn to Work SupportTechnical Issue ResolutionEHR Portal NavigationMultiple Monitor SetupInternet Connection ManagementHIPAA Compliance

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsAbility to Work IndependentlyAnalytical Skills

Tools & Technologies

Microsoft Office 365Google WorkspaceVPNEHR PortalsTeams Messaging

Certifications & Qualifications

Registered Nurse LicenseNational Professional Certification (CRC, CDMS, CRRN, COHN, CCM)

Industry Keywords

Home Health CarePalliative CareMedicare MembersChronic ConditionsWellness Activities

About the role

Key responsibilities & impact

Facilitate delivery of appropriate benefits and healthcare information to determine benefit eligibility
Promote wellness activities
Develop, implement, and support health strategies, tactics, policies, and programs
Ensure delivery of benefits
Establish overall member wellness and successful, timely return to work
Support network management and clinical coverage policies and programs
Work with clinical coverage and benefits policies and programs

Requirements

What you’ll need

Must be located in the Central Time Zone (CST)
3+ years of clinical practical experience required
2+ years of case management, discharge planning and/or home health care coordination experience
Associate's Degree in Nursing (REQUIRED)
Active and unrestricted Compact Registered Nurse (RN) License in the state of residence
Must have or be able to obtain a 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
WiFi and satellite internet are not permitted
Quiet, secure and private designated home virtual work location compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Must provide own workspace furniture, such as a desk or standing desk
Must obtain required internet speeds and adhere to all Work From Home requirements if hired
Comfortable setting up and using multiple monitors and navigating 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 manage strong passwords and recognize suspicious emails or links
Ability to resolve common technical issues independently
Preferred: diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac experience with Medicare members
Preferred: excellent analytical and problem-solving skills
Preferred: effective communication, organizational, and interpersonal skills
Preferred: ability to work independently
Preferred: bilingual
Preferred: national professional certification (CRC, CDMS, CRRN, COHN, or CCM)
Bachelor's Degree in Nursing (PREFERRED)

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
Company reimbursement for expenses related to obtaining multi-state RN licenses, if needed