Case Manager RN - Work From Home - Boston, Massachusetts

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.This RN Case Manager position is 100% remote and candidates are required to live EST. Preference is for an RN with Compact RN licensure residing in Massachusetts.Normal Working Hours: Monday through Friday 8am-5pm in time zone of residence with requirement to flex time to meet member/business needs.The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.RN Case Manager:Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member's needs and available benefits to collaborate and refer to programs offered by the plan sponsor.Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.Utilizes case management processes in compliance with regulatory and company policies and procedures.Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.Please note:This role involves using a computer station with multiple screens, operating multiple programs simultaneously, and sitting for extended periods of time.A private designated workspace free of distractions and high-speed internet is needed for this position.Required Qualifications:Must have an active and unrestricted RN license in state of residence, preferably compactRN living in EST Time ZoneWillingness and ability to obtain additional state licenses upon hire (paid for by the company)3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)0-10% travel may be requiredPreferred Qualifications:Compact RN licensure1+ years of case management experienceCertified Case Manager (CCM) certificationStrong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.Experience with all types of Microsoft Office including PowerPoint, Excel, and WordStrong telephonic communication skills1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.Transgender certificationEducation:Associates in nursingBSNAnticipated Weekly Hours: 40Time Type: Full timePay Range: The typical pay range for this role is: $66,575.00 - $142,576.00Our 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.We anticipate the application window for this opening will close on: 10/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.