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:

60522.00 - 129615.00 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.

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
May make outreach to treating physician or specialists
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
Facilitates appropriate condition management
Develops a proactive course of action
Monitors member/client progress toward desired outcomes

Requirements:

Candidates must live in the Southeast Region (States Include- FL, GA, AL, MS, NC, SC, TN, AR, LA)
Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
3+ years clinical practical experience with preference in the following areas: diabetes, Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members
2+ years case management, discharge planning and/or home health care coordination experience
2+ years of experience with Microsoft Word, Excel, and Outlook
Associate's Degree in Nursing or Nursing Diploma (REQUIRED)

Nice to have:

Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Certified Case Manager National professional certification (CRC, CDMS, CRRN, COHN, or CCM)
Efficient and effective computer skills including navigating multiple systems and keyboarding
Bachelor's Degree in Nursing (PREFERRED)

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 31, 2026

Employment Type:

Fulltime

Work Type:

Remote work

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