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Case Manager - Registered Nurse

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Category:
Nursing

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Contract Type:
Not provided

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Salary:

60522.00 - 129615.00 USD / Year
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Job Description:

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
  • Collaborate with other participants of the Interdisciplinary Care Team to address barriers
  • Identifies and connects members with health plan benefits and community resources
  • Meets regulatory requirements within specified timelines
  • Supports other members of the Care Team through clinical decision making

Requirements:

  • Active and unrestricted Registered Nurse (RN) licensure in the state of Pennsylvania (PA) OR Compact Registered Nurse (RN) licensure in state of residence
  • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
  • Access to a private, dedicated space to conduct work effectively
  • 3+ years of nursing experience
  • 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

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)
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • 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 22, 2026

Expiration:
March 06, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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