Case Manager, RN

CVS Health

. Conduct telephonic assessments of members’ medical, behavioral, and social needs .

Posted 10/7/2026full-timeRemote • United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting telephonic assessments, developing individualized care plans, and coordinating care across multidisciplinary teams. Proficient in utilizing motivational interviewing techniques and ensuring compliance with regulatory requirements while advocating for member health outcomes.

Highest-signal resume keywords

Active RN License3+ Years Clinical Nursing ExperienceCase Management ExperienceCase Manager Certification (CCM)Microsoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Telephonic AssessmentsIndividualized Care PlansRisk-Reduction StrategiesClinical JudgmentCare CoordinationMotivational InterviewingEHR NavigationTechnical Troubleshooting

Soft Skills

Member AdvocacyCollaborationCommunication

Tools & Technologies

Microsoft Office 365Google WorkspaceVPN Access

Certifications & Qualifications

Case Manager Certification (CCM)Compact RN License

Industry Keywords

Regulatory ComplianceHealth OutcomesBehavioral HealthClinical Information ReviewCare Coordination Standards

About the role

Key responsibilities & impact

Conduct telephonic assessments of members’ medical, behavioral, and social needs
Develop individualized care plans to improve health outcomes and wellness
Identify barriers to care and implement risk-reduction and engagement strategies
Coordinate care across providers, programs, and community resources
Review clinical information, claims history, and benefit eligibility
Use motivational interviewing and clinical judgment to engage members and support goals
Collaborate with multidisciplinary teams on complex cases
Ensure compliance with regulatory requirements and company case management standards
Provide care coordination, member advocacy, and support for improved health outcomes

Requirements

What you’ll need

Active, unrestricted RN license in your state of residence
Ability to obtain multi-state/compact licensure
3+ years of clinical nursing experience
1+ year of experience using Microsoft Office (Outlook, Word, Excel)
Ability to work Monday–Friday with schedules starting as early as 8:00 AM in your local time zone
Ability to participate in rotating late shifts up to 8:00 PM EST and holiday on-call coverage as needed
Compact RN license preferred
Case Management experience preferred
Case Manager Certification (CCM or equivalent) preferred
BSN preferred
Associate Degree in Nursing required
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
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Work within the state and city where currently residing
Ability to use multiple monitors and navigate multiple applications
Experience with Microsoft Office 365 applications or similar Google Workspace tools
Ability to access secure systems such as VPN and EHR portals
Ability to follow computer, password, and email security practices
Ability to troubleshoot common technical issues independently

Benefits

Comp & perks

Company-paid opportunity to obtain multi-state/compact licensure
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Fully remote work arrangement
No travel required