Case Manager, Registered Nurse

Job not on LinkedIn

🕒 July 27

🇺🇸 United States – Remote

💵 $54.1k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 48%

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 clinical assessments and identify care coordination needs • Develop, implement, and monitor individualized case management plans • Support inpatient review and discharge planning as appropriate • Advocate for members to maximize benefits and access appropriate services • Engage members through coaching, education, and motivational interviewing • Identify and escalate quality-of-care concerns • Deliver exceptional customer experience while collaborating with care teams and Medical Directors • Support members through personalized, high-quality care coordination • Use clinical expertise, data-driven insights, and advocacy to help members achieve optimal, cost-effective health outcomes

🎯 Requirements

• Active, unrestricted RN license in your state of residence • Willingness to obtain additional state licenses • 3+ years of acute care RN experience • Med-Surg or Critical Care experience preferred • Strong clinical judgment, decision-making, and organizational skills • Compact or multi-state RN license preferred • Certified Case Manager (CCM) preferred • Telephonic case management or telephonic clinical experience preferred • Associate Degree in Nursing required • BSN preferred • Monday–Friday availability, 9:00 AM–5:30 PM in the employee’s local time zone • Availability for occasional rotating late shifts, 11:30 AM–8:00 PM EST

🏖️ Benefits

• Company-paid additional state licenses • No travel required • 100% remote work • 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