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Case Manager, RN - Field
CVS Health. Coordinate all case management activities with members to evaluate medical needs .
Posted 10/2/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and clinical coordination, with a strong focus on enhancing member wellness through effective communication, compliance with regulatory standards, and achieving performance metrics. Holds active clinical licensure and relevant certifications, ensuring high-quality service delivery in a managed care environment.
Highest-signal resume keywords
Current/Active Clinical LicensureCase Management ExperienceCCM CertificationExcellent Communication SkillsTechnology Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementMotivational InterviewingDocumentation ExcellencePerformance Metrics AchievementRegulatory Compliance
Soft Skills
Customer Service OrientationProblem SolvingHighly OrganizedSelf-DrivenTime Management
Certifications & Qualifications
CCM Certification
Industry Keywords
Managed Care OrganizationClinical Coverage PoliciesWellness StrategiesNetwork ManagementTelephonic Skills
About the role
Key responsibilities & impact- Coordinate all case management activities with members to evaluate medical needs
- Facilitate members' overall wellness
- Develop strategies to address issues, outcomes, and opportunities to enhance members' wellness through integration
- Instruct on programs and procedures in compliance with network management and clinical coverage policies
- Travel within 125 miles round trip for 1 day in the field
- Work a variable schedule, including 2 days weekly until 9pm local time
- Achieve performance metrics and maintain compliant documentation
Requirements
What you’ll need- Must reside in Louisiana in one of the following parishes: Caddo, Bossier, Webster, Claiborne, Bienville, Red River, DeSoto, Sabine, or Natchitoches
- Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
- Case Management experience
- Strong customer service orientation and problem solving
- Excellent Communication/Telephonic skills
- Excellent motivational interviewing skills/ability to build rapport and trust telephonically
- Excellence in documentation and respecting compliance/regulatory standards
- Highly organized and self-driven without direct supervision
- Ability to manage time effectively
- Ability to achieve performance metrics
- Technology proficiency
- Ability to travel within 125 miles round trip for 1 day in the field
- Variable work schedule with ability to work 2 days weekly until 9pm local time
- Bachelors and/or Master's Degree
- CCM Certification
- Previous experience in Managed Care Organization
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