We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
This Case Manager RN position is 100% remote, and the employee can live in any state. No travel is expected with this position.
Normal Working Hours: Monday- Friday, 8:00am - 4:30pm with a 10:30am-7:00pm rotation several times per Quarter in the time zone of residence. Rotational coverage of evenings, weekends and holidays will be per the needs of the department.
The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
The Case Manager RN process includes assessing the member's health status and care coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria.
The Case Manager RN role requires a nurse that can exercise independent and sound judgment and someone that has strong decision-making skills and well-developed interpersonal skills. The Case Manager RN is expected to manage multiple priorities, demonstrate both effective organizational and time management skills as well demonstrate strong teamwork skills.
The responsibilities of this Case Manager RN position are to:
-Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs.
-Conduct comprehensive clinical assessments.
-Evaluate needs and develop flexible approaches based on member needs, benefit plans or external programs/services.
-Advocate for patients to the full extent of existing health care coverage.
-Promote quality, cost effective outcomes, and make suggestions to improve program/operational efficiency.
-Identify and escalate quality of care issues through established channels.
-Provide an expected very high level of customer service.
-Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change.
-Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
-Provide coaching, information, education, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
Required Qualifications:
- Active and unrestricted RN license in their state of residence and have the ability to obtain multi-state licensure upon hire
- 3+ years of acute care experience as an RN
- 3+ years of experience with Microsoft Suite of products
- 2+ years of Oncology Care experience
Preferred Qualifications:
- Compact RN License
- Certified Case Manager (CCM)
- Case Management experience
- Managed Care experience
- Telephonic case management and/or telephonic customer service center experience
Education:
- Minimum of Associate Degree in Nursing required
- BSN preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,095.00 - $116,760.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- Active and unrestricted RN license in the state of residence
- Ability to obtain multi-state licensure upon hire
- 3 or more years of acute care experience as an RN
- 3 or more years of experience with Microsoft Suite products
- 2 or more years of oncology care experience
- Compact RN license
- Certified Case Manager certification
- Case management experience
- Managed care experience
- Telephonic case management or telephonic customer service center experience
- Associate Degree in Nursing
- Bachelor of Science in Nursing
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
