Case Manager RN - reside

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.

Are you a compassionate Registered Nurse looking to leverage your clinical expertise in a remote role? Join our team as an RN Case Manager and help improve health outcomes by guiding members through their healthcare journey.

• Conduct telephonic assessments to identify members’ medical, behavioral, and social needs
• Develop and coordinate personalized care plans to support overall wellness
• Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care
• Utilize clinical judgment to address complex health conditions and improve outcomes
• Support members through transitions of care and connect them with appropriate resources
• Maintain compliance with regulatory and company case management standards

• Active, unrestricted RN license in North Carolina
• Must reside in North Carolina
• Minimum 2 years of RN clinical experience
• Associate Degree in Nursing
• Experience in any clinical setting considered, including:
• ICU, NICU, Emergency Department
• Med/Surg, Telemetry, OR
• Home Health, Hospice
• Long-Term Care, Infusion, Orthopedics, and more
• Strong communication and member engagement skills

• Certified Case Manager (CCM)
• BSN
• Case Management or Managed Care experience
• Discharge Planning experience
• Proficiency with Microsoft Office Suite

• 100% Remote (Telework)
• Must live in North Carolina
• Monday-Friday, 9:00 AM-5:30 PM EST
• Occasional evenings, weekends, holidays, and limited travel (up to 10%)

• Remote work flexibility
• Opportunity to make a meaningful impact on members' health and well‑being
• Professional growth in care management
• Company-paid support for obtaining additional state RN licenses

• 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…