Case Manager Registered Nurse

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.

About the role

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.

Responsibilities

• 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

Schedule

• 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

Requirements

• 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
• 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.
• 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.

Qualifications

Required

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

Preferred

• 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

Benefits

• 100% remote position
• Company-paid additional state licensure
• Predictable weekday schedule
• No weekends or holiday requirements
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs

Pay

The typical pay range for this role is $60,522.00 - $129,615.00 annually. This pay range represents the 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 also eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Work From Home Requirements

• The company will provide equipment (keyboard, monitor, computer, headset, etc.)
• All new hires should provide their own workspace furniture (desk or standing desk)
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements