Case Manager, Registered Nurse

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $54.1k - $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

• Conduct comprehensive telephonic assessments and develop individualized care plans • Identify health risks, barriers, and opportunities to improve member wellness • Coordinate care, referrals, and transitions to appropriate clinical programs and resources • Apply clinical judgment to support members with complex and co-morbid conditions • Collaborate with multidisciplinary teams to achieve optimal member outcomes • Maintain compliance with regulatory requirements and company policies • Provide telephonic case management support for members with complex healthcare needs • Help members navigate resources, improve health outcomes, and overcome barriers to care

🎯 Requirements

• Active, unrestricted RN license in state of residence • Willingness to obtain a Compact RN license (company-paid) • Minimum 5 years of clinical RN experience • Associate Degree in Nursing (ADN) • Ability to work within Monday–Friday business hours • 6+ months of Case Management or Utilization Management experience (preferred) • Case Management Certification (CCM or equivalent) (preferred) • BSN (preferred)

🏖️ Benefits

• Company-paid Compact RN license • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility