Case Manager RN

Remote RN Case ManagerWe'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 Registered Nurse passionate about helping members navigate complex healthcare needs? Join our Case Management team and make a meaningful impact by guiding members toward better health outcomes through personalized care planning, advocacy, and coordination.What You'll DoConduct telephonic assessments to evaluate members' medical, behavioral, and social needsDevelop individualized care plans that support improved health outcomes and overall wellnessIdentify barriers to care and implement strategies to reduce risk and improve member engagementCoordinate care across providers, programs, and community resourcesReview clinical information, claims history, and benefit eligibility to support appropriate interventionsUtilize motivational interviewing and clinical judgment to engage members and support goal achievementCollaborate with multidisciplinary teams to address complex cases and facilitate optimal outcomesEnsure compliance with regulatory requirements and company case management standardsWhat You Bring - RequiredActive, unrestricted RN license in your state of residenceAbility to obtain multi-state/compact licensure (company-paid)3+ years of clinical nursing experience1+ year of experience using Microsoft Office (Outlook, Word, Excel)Ability to work Monday–Friday with schedules starting as early as 8:00 AM in your local time zoneAbility to participate in rotating late shifts (up to 8:00 PM EST) and holiday on-call coverage as neededPreferred QualificationsCompact RN licenseCase Management experienceCase Manager Certification (CCM or equivalent)BSN preferredSchedule & Work EnvironmentFully remote; candidates from any U.S. state are welcome to applyNo travel requiredStandard schedule: Monday–Friday, 8:00 AM–4:30 PM in your local time zoneOccasional late-shift rotation and holiday on-call supportEducationAssociate Degree in Nursing requiredBSN preferredWhy Join Us?Work from anywhere in the U.S.No travel requirementsMake a direct impact on member health and wellnessCollaborate with an experienced interdisciplinary teamExpand your case management expertise in a supportive environmentCompany-sponsored multi-state licensure opportunitiesIf you're an experienced RN who enjoys care coordination, member advocacy, and helping individuals achieve better health outcomes, we'd love to hear from you. Apply today!Work from Home Requirements: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.Technical and Logistical 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 environment evolves.Anticipated Weekly Hours: 40Time Type: Full timePay Range: The typical pay range for this role is: $60,522.00 - $129,615.00. This 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 peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.We anticipate the application window for this opening will close on: 10/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.