Case Manager, RN

CVS Health

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

Posted 11/5/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting telephonic assessments and developing personalized care plans while maintaining compliance with regulatory standards. Proficient in utilizing clinical judgment to improve health outcomes and effectively collaborating with multidisciplinary teams.

Highest-signal resume keywords

Active RN License In North CarolinaMinimum 2 Years RN Clinical ExperienceExperience In Clinical SettingsStrong Communication SkillsCertified Case Manager (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Telephonic AssessmentsPersonalized Care PlansClinical JudgmentCase ManagementDischarge PlanningNavigating Multiple SystemsEHR PortalsComputer Security PracticesTechnical Issue ResolutionMember Engagement

Soft Skills

CollaborationOpenness To LearningCommunication

Tools & Technologies

Microsoft Office 365Google WorkspaceVPNMultiple Monitors

Certifications & Qualifications

Certified Case Manager (CCM)Associate Degree In Nursing

Industry Keywords

HIPAA ComplianceManaged CareHome HealthLong-Term CareInfusionOrthopedicsEmergency DepartmentICUTelemetryMed/Surg

About the role

Key responsibilities & impact

Conduct telephonic assessments to identify members’ medical, behavioral, and social needs
Develop and coordinate personalized care plans to support overall wellness
Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care
Utilize clinical judgment to address complex health conditions and improve outcomes
Support members through transitions of care and connect them with appropriate resources
Maintain compliance with regulatory and company case management standards
Work Monday-Friday, 9:00 AM-5:30 PM EST, with occasional evenings, weekends, holidays, and limited travel up to 10%
Work remotely from a designated home workspace within North Carolina
Navigate multiple systems and applications to manage case work efficiently

Requirements

What you’ll need

Active, unrestricted RN license in North Carolina
Must reside in North Carolina
Minimum 2 years of RN clinical experience
Associate Degree in Nursing
Experience in any clinical setting considered, including ICU, NICU, Emergency Department, Med/Surg, Telemetry, OR, Home Health, Hospice, Long-Term Care, Infusion, and Orthopedics
Strong communication and member engagement skills
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 virtual work location compliant with CVS Health and HIPAA guidelines
Ability to provide workspace furniture, such as a desk or standing desk
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 follow computer security practices, manage strong passwords, and recognize suspicious emails or links
Ability to resolve common technical issues independently and contact IT for unresolved issues
Openness to learning new skills as the workplace evolves
Preferred: Certified Case Manager (CCM)
Preferred: BSN
Preferred: Case Management or Managed Care experience
Preferred: Discharge Planning experience
Preferred: Proficiency with Microsoft Office Suite

Benefits

Comp & perks

Remote work flexibility
Work-life balance
Professional growth in care management
Company-paid support for obtaining additional state RN licenses
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
CVS Health bonus, commission or short-term incentive program eligibility in addition to base pay