Case Manager, RN – Compact License

CVS Health

. Act as a liaison with members, clients, families, employers, providers, insurance companies, and healthcare personnel .

Posted 9/17/2026full-timeRemote • New Jersey • United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and clinical practice, with a focus on coordinating care for members with chronic conditions. Proficient in utilizing clinical tools and data to assess needs and develop effective plans of care.

Highest-signal resume keywords

Active And Unrestricted Compact License3+ Years Clinical Practice Experience2+ Years Case Management ExperienceManaged Care ExperienceAssociate's Degree In Nursing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Case ManagementDischarge PlanningClinical AssessmentCondition ManagementWellness FacilitationBenefit Plan EvaluationDocumentation PreparationEducation And PreventionAnalytical SkillsProblem-Solving Skills

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsAbility To Work IndependentlyRemote Work Capability

Tools & Technologies

Microsoft WordMicrosoft TeamsMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPoint

Certifications & Qualifications

Active And Unrestricted New Jersey Registered Nurse (RN) Compact License

Industry Keywords

MedicareChronic Kidney Disease (CKD)Congestive Heart Failure (CHF)Palliative CareHospice CarePost-Acute CareTelephonic InteractionMultidisciplinary TeamsInsurance CompaniesHealthcare Personnel

About the role

Key responsibilities & impact

Act as a liaison with members, clients, families, employers, providers, insurance companies, and healthcare personnel
Coordinate case management activities for catastrophic cases and chronically ill members/clients across the continuum of care
Interact with members/clients telephonically or in person, including in homes, work sites, or physician offices
Assess medical and/or vocational status and develop plans of care
Facilitate condition management, wellness, medical outcomes, return to work, and optimal functioning
Communicate with members/clients and stakeholders, including medical providers, attorneys, employers, and insurance carriers
Prepare required case work documentation
Consult with internal multidisciplinary teams
Contact treating physicians or specialists regarding care and treatment
Provide education and prevention information
Apply applicable laws, regulations, insurance-carrier instructions, and company policies
Testify as required to substantiate case work or reports
Evaluate member/client needs and benefit plan eligibility using clinical tools and data
Develop proactive courses of action and monitor progress toward desired outcomes

Requirements

What you’ll need

Active and unrestricted Compact License
3+ years clinical practice experience
2+ years case management, discharge planning, and/or home health care coordination experience
Ability to occasionally travel up to 10% within a designated geographic area for in-person case management activities
2+ years proficiency with Microsoft Word, Teams, Excel, Outlook, and PowerPoint
Experience working with Medicare members with diabetes, congestive heart failure (CHF), chronic kidney disease (CKD), post-acute care, hospice, palliative care, and/or cardiac
Managed care experience
Willing and able to obtain additional state RN licenses if needed
Excellent analytical and problem-solving skills
Effective communication, organizational, and interpersonal skills
Ability to work independently, remotely, and field based
Efficient and effective computer skills, including navigating multiple systems and keyboarding
Associate's Degree in Nursing (REQUIRED)
Active and unrestricted New Jersey Registered Nurse (RN) Compact License

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 in addition to base pay