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:

54095.00 - 116760.00 USD / Year

Save Job

Apply Position

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.

Job Responsibility:

Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
develops a plan of care
Communicates with member/client and other stakeholders as appropriate
Prepares all required documentation of case work activities
Interacts and consults with internal multidisciplinary team as indicated
May make outreach to treating physician or specialists concerning course of care and treatment as appropriate
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 and procedures
Facilitates appropriate condition management
Develops a proactive course of action to address issues
Monitors member/client progress toward desired outcomes through assessment and evaluation

Requirements:

Candidate must reside in an Eastern Standard Time Zone (EST) state
Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in state of residence
2+ years of experience in care management
2+ years of Medicare experience
Associate’s Degree in Nursing AND relevant experience in a health care-related field (REQUIRED)

Nice to have:

Geriatric experience
Experience working in a Multicultural setting, or person multicultural experience
Certified Case Manager
National professional certification (CRC, CDMS, CRRN, COHN, or CCM)
Bachelor’s Degree in Nursing (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
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
March 25, 2026

Expiration:
March 27, 2026

Employment Type:

Fulltime

Work Type:

Remote work

CVS Health - All Job Offers

Job Link Share: