Case Manager, Registered Nurse

Job not on LinkedIn

🔥 12 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provide comprehensive care management services to members with complex medical, behavioral health, and social needs • Conduct clinical assessments and identify member needs and barriers to health outcomes • Develop and monitor person-centered care plans • Coordinate care across providers and community resources • Facilitate transitions of care • Ensure members receive medically necessary and cost-effective services • Collaborate with interdisciplinary teams, members, caregivers, and providers • Promote quality outcomes, member satisfaction, regulatory compliance, and organizational goals • Use multiple monitors and applications to streamline work • Communicate through email, calendar invites, Teams messaging, and virtual meetings • Access secure systems such as VPN and EHR portals • Troubleshoot common technical issues and contact IT for unresolved problems

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) license in the applicable state • Minimum of 3 to 5 years of clinical nursing experience, preferably in care management, case management, home care, long-term care, managed care, utilization management, or community-based healthcare settings • Experience coordinating care for members with complex medical, behavioral health, and psychosocial needs • Strong knowledge of chronic disease management, care coordination, and healthcare delivery systems • Ability to perform clinical assessments, identify member needs, and develop comprehensive care plans • Excellent communication, organizational, critical thinking, and problem-solving skills • Proficiency in Microsoft Office applications and electronic documentation systems • Ability to work independently while effectively collaborating with interdisciplinary teams • Bachelor’s Degree in Nursing (BSN) preferred • Current, unrestricted Registered Nurse (RN) license required • Direct/hardwired internet connection to a modem/router within 7 feet of the computer, or ability to obtain one • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Wi-Fi and satellite internet are not permitted • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently living • Must provide workspace furniture, such as a desk or standing desk • Ability to use multiple monitors and navigate multiple applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace tools • Ability to log in to secure systems such as VPN and EHR portals • Ability to follow computer security practices, including locking screens, managing strong passwords, and recognizing suspicious emails or links • Ability to resolve common technical issues independently and contact IT when needed • Openness to learning new skills as the workplace evolves

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Company-provided equipment (keyboard, monitor, computer, headset, etc.)