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Case Manager

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:

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:

  • Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness
  • Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration
  • Through the use of clinical tools and information/data review (e.g., assessments, claims, etc.) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor
  • Applies clinical judgment to reduce risk factors, address complex health issues and social indicators
  • Utilizes case management processes in compliance with regulatory and company policies and procedures
  • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation

Requirements:

  • Must have an active current and unrestricted RN license in state of residence
  • Willingness and ability to obtain additional state licenses upon hire
  • 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)
  • Ability to use a computer station with multiple screens, operate multiple programs simultaneously, and sit for extended periods of time
  • A private designated workspace free of distractions and high-speed internet
  • Associates Degree in Nursing required

Nice to have:

  • Compact RN licensure
  • 1+ years of case management experience
  • Certified Case Manager (CCM) certification
  • Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues
  • Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
  • Strong telephonic communication skills
  • 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone
  • Bachelor’s in Science and 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:
March 04, 2026

Expiration:
March 18, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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