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Case Manager Registered Nurse

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Saint Paul

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Category:
Nursing

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Contract Type:
Employment contract

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Salary:

60522.00 - 129615.00 USD / Year

Job Description:

Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.

Job Responsibility:

  • Facilitate the delivery of appropriate benefits and/or healthcare information
  • Develops, implements, and supports Health Strategies
  • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
  • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients
  • Interacts with members/clients telephonically or in person
  • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
  • Communicates with member/client and other stakeholders
  • Prepares all required documentation of case work activities
  • Interacts and consults with internal multidisciplinary team
  • Provides educational and prevention information
  • Applies all laws and regulations that apply to the provision of rehabilitation services
  • Conducts an evaluation of members/clients' needs and benefit plan eligibility
  • Utilizes case management processes in compliance with regulatory and company policies

Requirements:

  • Active Registered Nurse Compact License
  • Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
  • Minimum 2+ years CM, discharge planning and/or home health care coordination experience
  • Previous Utilization Management experience, transitions of care and discharge planning required
  • Registered Nurse with active state license in good standing within the region where job duties are performed is required
  • Associates degree with equivalent experience, applicant would be required to obtain a bachelor's degree within 3+ years as part of role development

Nice to have:

  • Certified Case Manager
  • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM)
  • Bachelor's degree
  • Ability to occasionally travel within a designated geographic area for in-person case management activities
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills
  • Ability to work independently
  • Proficiency with standard corporate software applications
  • Willing and able to obtain multi state RN licenses if needed
What we offer:
  • $5,000 New Hire Bonus
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
October 07, 2025

Expiration:
October 31, 2025

Employment Type:
Fulltime
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