Case Manager, RN

CVS Health

. Telephonically assess, plan, implement and coordinate case management activities with members from Federal Plans .

Posted 10/6/2026full-timeRemote • United StatesMid-LevelSenior💰 $54,095 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, clinical assessment, and patient advocacy, with a focus on promoting wellness and improving health outcomes. Proficient in utilizing data-driven methods and motivational interviewing to enhance member engagement and operational efficiency.

Highest-signal resume keywords

Active RN Licensure3+ Years Clinical Practice ExperienceCase Management ExperienceMotivational Interviewing SkillsMS Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCase ManagementData-Driven Member IdentificationHealth Literacy AssessmentIndividualized Case Management Programs

Soft Skills

Customer ServiceAdvocacyInfluencing Skills

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Federal PlansWellness PromotionQuality ImprovementOperational EfficiencyPatient Engagement

About the role

Key responsibilities & impact

Telephonically assess, plan, implement and coordinate case management activities with members from Federal Plans
Evaluate members’ medical needs to facilitate and promote overall wellness
Develop proactive courses of action to address issues and enhance short- and long-term outcomes
Use data-driven member identification methods to 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 health care coverage
Promote quality, cost-effective outcomes and suggest improvements to program/operational efficiency
Identify and escalate quality-of-care issues through established channels
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 and promote lifestyle/behavior changes

Requirements

What you’ll need

Active, current and unrestricted RN licensure in state of residence
Ability to be licensed in all non-compact states
Willingness and ability to work Monday through Friday, 8 hour shift between 8am to 5:30pm Arizona time
Must live in PST, MST, or Arizona Time zones
3+ years of clinical practice experience
1+ years of experience utilizing MS Office suites
Associate's degree
Case management experience preferred
Case Manager Certification preferred
BSN preferred

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility