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CVS HealthPosted 10/20/2026full-timeRemote • Pennsylvania • United StatesJuniorMid-Level💰 $29 - $62 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong clinical judgment and communication skills while coordinating care and managing treatment plans in a remote environment. Proficient in utilizing secure systems and digital communication tools to enhance healthcare delivery and member outcomes.
Highest-signal resume keywords
Active RN License2+ Years RN ExperienceUtilization Management ExperienceCase Management ExperienceMicrosoft Office 365 Proficiency
About the role
Key responsibilities & impact- Review clinical information and apply evidence-based guidelines to make coverage recommendations
- Coordinate with providers and care teams to support treatment plans and continuity of care
- Identify opportunities for care management referrals and improved healthcare utilization
- Promote quality, efficiency, and positive member outcomes
- Work in a fast-paced, technology-driven environment while meeting productivity and quality goals
- Collaborate with providers and healthcare teams as part of a 24/7 operation
- Use digital communication channels including email, calendar invites, Teams messaging, and virtual meetings
- Log in to secure systems and maintain required system and workspace security
- Troubleshoot common technical issues and contact IT for unresolved issues
Requirements
What you’ll need- Active, unrestricted RN license in your state of residence
- 2+ years of RN experience in adult acute care, critical care, or medical-surgical
- Strong clinical judgment, communication, and multitasking skills
- Comfort navigating multiple computer systems, monitors, and Microsoft Office applications
- Ability to work independently in a remote environment
- Associate degree in nursing required
- Utilization Management or Managed Care experience preferred
- Prior experience with case management, care coordination, or health plan operations preferred
- EST time zone residency preferred
- 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 workspace compliant with CVS Health and HIPAA guidelines
- Ability to work within the state and city where currently residing
- Ability to use multiple monitors and applications simultaneously
- Experience with Microsoft Office 365 applications or similar Google Workspace tools
- Ability to use 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 troubleshoot common technical issues independently
- Availability for schedules that may include evenings, weekends, and holidays
- Ability to work 40 hours per week
Benefits
Comp & perks- Fully remote opportunity with company-provided technology equipment
- Opportunities for professional growth and development
- 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 in addition to base pay
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical JudgmentCare CoordinationMultitaskingTroubleshooting Technical IssuesEHR Portal UsageVPN UsageEvidence-Based Guidelines ApplicationHealthcare Utilization ImprovementTreatment Plan SupportQuality and Efficiency Promotion
Soft Skills
Communication SkillsIndependenceCollaborationAdaptabilityTime Management
Tools & Technologies
Microsoft Office ApplicationsGoogle Workspace ToolsDigital Communication ChannelsSecure SystemsVirtual Meeting Platforms
Certifications & Qualifications
RN LicenseAssociate Degree in Nursing
Industry Keywords
Utilization ManagementManaged CareHealthcare DeliveryHIPAA ComplianceAcute Care