Case Manager Registered Nurse

We are 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 home while making a meaningful impact on patient outcomes. We are seeking an experienced Registered Nurse (RN) Case Manager to join our growing team in a fully remote role.

Schedule Monday-Friday, 9:00 AM-5:30 PM EST (8-hour shift) Occasional on-call weekends and holidays, currently covered on a volunteer basis Less than 5% travel for meetings, training, or licensure requirements

• Assess, plan, implement, and coordinate care for members telephonically and/or virtually
• Develop individualized care plans and wellness strategies
• Identify clinical and social barriers to health outcomes
• Connect members with available programs, benefits, and community resources
• Apply clinical judgment to manage complex health conditions and reduce risk factors
• Engage members through strong communication and motivational interviewing techniques
• This job will require time in a queue-like setting.

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company-paid)
• 3+ years of acute care RN experience (medical, surgical, specialty, ICU, pediatrics, discharge planning, or case management)
• Comfortable working with multiple computer applications and monitors
• Associate Degree in nursing

• Compact RN license
• BSN
• 1+ year of case management experience
• Certified Case Manager (CCM) certification
• Strong customer service and member engagement skills
• Excellent phone-based communication skills
• Prefer candidates living in MST or PST.

• 100% remote position
• Open to candidates nationwide
• Company-paid additional state licensure
• Opportunity to improve lives through care coordination and advocacy
• Collaborative, mission-driven healthcare environment

• 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…