Case Manager, RN – Compact License

CVS Health

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

Posted 9/20/2026full-timeRemote • New Jersey • United StatesMid-LevelSenior💰 $54,095 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, care coordination, and health strategy implementation, with a strong focus on member wellness and effective communication. Proficient in navigating healthcare systems and promoting quality outcomes for diverse populations.

Highest-signal resume keywords

RN Compact LicenseCase Management ExperienceDischarge PlanningClinical Practical ExperienceBilingual Preferred

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationHealth Strategy DevelopmentAssessment and PlanningAnalytical SkillsProblem-Solving Skills

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsAbility to Work Independently

Tools & Technologies

MS WordMS ExcelMS OutlookMS PowerPointProprietary Applications

Certifications & Qualifications

RN LicenseCertified Case ManagerAdditional National Professional Certification

Industry Keywords

MedicareDiabetesCHFCKDPalliative Care

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
Support delivery of benefits, overall member wellness, and successful and timely return to work
Perform assessment, planning, facilitation, care coordination, evaluation, and advocacy
Coordinate options and services addressing individuals’ and families’ comprehensive health needs
Communicate with members, providers, and community organizations
Use available resources to promote quality and cost-effective outcomes
Collaborate with Community Care teams in a member-centric, team-delivered, community-based care management model

Requirements

What you’ll need

RN Compact license required
Minimum 5+ years clinical practical experience with Medicare members; preference for diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac experience
Minimum 2+ years of discharge planning and/or home health care coordination experience
Minimum 2+ years Case Management Experience
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications
Efficient and effective computer skills, including navigating multiple systems and keyboarding
Willing and able to obtain multi-state RN licenses if needed; company will provide
Bilingual preferred
Certified Case Manager preferred
Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred, but not required
Associate degree or Nursing Diploma required
Bachelor’s degree 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 in addition to base pay