Bilingual Case Manager Registered Nurse - Field - reside in Hillsborough or Polk County Florida

Position Summary

This is a full‑time remote role with 50‑75% travel required for face‑to‑face visits with members in Polk, Hillsborough, Highlands, Hardee, and Manatee Counties. Schedule is Monday‑Friday, 8:00 am–5:00 pm, standard business hours.

We are seeking a self‑motivated, energetic, detail‑oriented, highly organized, tech‑savvy Clinical Case Manager to join our Case Management team. This opportunity offers a competitive salary and full benefits, as well as autonomy through a Monday‑Friday working schedule, paid holidays, and flexibility while coordinating the care of your members.

Clinical Case Management responsibilities include:

• Assessing, planning, implementing, and coordinating all case‑management activities with members to evaluate medical needs and facilitate overall wellness.
• Effectively managing a caseload that includes supportive and medically complex members.
• Developing a proactive course of action to address issues and enhance short‑ and long‑term outcomes, as well as opportunities to improve member wellness through integration.
• Determining appropriate services and supports due to member health needs, including Prior Authorizations, Coordination with PCPs and skilled providers, Condition Management Information, Medication Review, and Community Resources and Supports.

• Bi‑lingual in English and Spanish
• Active and unrestricted RN license in Florida
• Must reside in Hillsborough or Polk County, Florida
• Willing and able to travel 50‑75% of the time to meet members face‑to‑face in Polk, Hillsborough, Highlands, Hardee, and Manatee Counties
• 1+ year of clinical experience
• 1+ year of computer proficiency in Microsoft Word, Excel, and Outlook

• Experience in behavioral health or a long‑term care setting
• Case management and discharge planning experience
• Managed Care experience
• Ability to multitask, prioritize, and adapt to a fast‑paced changing environment
• Effective communication skills, both verbal and written

• Diploma RN or Associates Degree in Nursing required
• Bachelor's Degree in Nursing preferred

40

Full time

$60,522.00 – $

The typical pay range for this role 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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.

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 belongs.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.