Case Manager Registered Nurse Job at CVS Health (Work at Home)

Case Manager Registered Nurse

CVS Health

Location:
United States , Work at Home

Category:
Nursing

Contract Type:
Not provided

Salary:

66575.00 - 142576.00 USD / Year

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Job Description:

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. The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs.

Job Responsibility:

50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care
Compiles all available clinical information and partners with the member to develop an individualized care plan
Provides evidence-based disease management education and support
Ensure the appropriate members of the interdisciplinary care team are involved
Provides care coordination to support a seamless health care experience
Meticulous documentation of care management activity in the member’s electronic health record
Collaborate with other participants of the Interdisciplinary Care Team
Identifies and connects members with health plan benefits and community resources
Meets regulatory requirements within specified timelines
The Care Manager RN supports other members of the Care Team through clinical decision making and guidance

Requirements:

Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY
Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
Access to a private, dedicated space to conduct work effectively
Minimum 3+ years of nursing experience
Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience
Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)

Nice to have:

Experience providing care management for Medicare and/or Medicaid members
Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health
Experience conducting health-related assessments and facilitating the care planning process
Bilingual skills, especially English-Spanish
Bachelor’s of Science in Nursing (BSN) (PREFERRED)

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
an employee stock purchase plan
No-cost programs for all colleagues including 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:
February 21, 2026

Expiration:
February 27, 2026

Employment Type:

Fulltime

Work Type:

Remote work

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