Case Manager, Registered Nurse

Job not on LinkedIn

🔥 2 minutes ago

🏈 Alabama, Arizona, +17 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🌶️ New Mexico – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $54.1k - $116.8k / 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

• Assess members’ health status and care coordination needs • Conduct inpatient review and discharge planning • Develop, implement, monitor, and evaluate case management plans • Apply data-driven methods to identify members and create individualized case management programs or referrals • Conduct comprehensive clinical assessments • Evaluate needs and develop approaches based on member needs, benefit plans, and external services • Advocate for patients within existing healthcare coverage • Promote quality, cost-effective outcomes and suggest operational improvements • Identify and escalate quality-of-care issues • Provide a high level of customer service • Assess health literacy, technology capabilities, and readiness to change • Use influencing and motivational interviewing to engage members and promote lifestyle or behavior changes • Provide coaching, information, education, and support for independent medical and healthy lifestyle decisions • Involve the Medical Director as indicated and close cases when discharge criteria are met • Manage multiple priorities in a queue-type setting

🎯 Requirements

• Active and unrestricted RN license in state of residence • Ability to obtain multi-state licensure upon hire • 3+ years of acute care experience as an RN • 3+ years of experience with Microsoft Suite products • Strong problem-solving and clinical decision-making skills • Ability to manage sensitive information with professionalism and confidentiality • Excellent communication and relationship-building skills • Ability to work effectively with diverse patient populations and healthcare teams • Minimum of Associate Degree in Nursing required • Must be able to start December 14, 2026 • Must work Monday–Friday between 8:00am–4:30pm in residence time zone, with rotational evening, weekend, and holiday coverage • Direct/hardwired internet connection within 7 feet of modem/router • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Ability to use multiple monitors and applications simultaneously • Experience with Microsoft Office 365 or similar Google Workspace applications • Ability to use secure systems such as VPN and EHR portals • Ability to follow computer, password, and cybersecurity practices • Ability to troubleshoot common technical issues independently

🏖️ 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.) • 100% remote work • No travel expected