Case Manager

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.

Work from anywhere in the U.S. Join a team dedicated to improving member health outcomes through proactive, compassionate case management. This is a fully remote opportunity with no weekends or holiday shifts required.

As an RN Case Manager, you will assess, coordinate, and manage care for members with diverse healthcare needs. Using your clinical expertise, you'll:

• Conduct telephonic case management assessments and care planning
• Identify health risks, barriers to care, and opportunities to improve outcomes
• Develop individualized care strategies and coordinate appropriate resources
• Support members through complex medical and social health needs
• Collaborate with multidisciplinary teams to ensure effective care management
• Promote member engagement through strong communication and clinical guidance

• Monday-Friday, 8-hour shifts
• Flexible scheduling between 8:00 AM-6:00 PM (local time zone)
• Occasional rotating late shift coverage until 9:00 PM EST
• No weekends or holidays
• Less than 5% travel for occasional clinical audits

• Active, unrestricted RN license in state of residence
• Required to obtain additional state licenses (company-paid)
• 3+ years of acute care hospital RN experience (medical-surgical, post-surgical, ICU, or similar)
• Associates Degree in Nursing

• 1+ year of case management experience
• Compact RN license
• Certified Case Manager (CCM) certification
• Strong telephone communication skills
• Proficiency with Microsoft Office (Word, Excel, PowerPoint)
• BSN preferred

• 100% remote position
• Company-paid additional state licensure
• Predictable weekday schedule
• No weekends or holiday requirements
• Opportunity to make a meaningful impact on members' health and wellness

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

• Device & System Navigation:
  Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools:
  Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Collaboration & Scheduling:
  Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security:
  Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Troubleshooting & Support:
  Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Future Growth:
  Openness to learning new skills in the future as the workplace…