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CVS Health

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 fit
Core 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

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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 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