Case Management - Registered Nurse

Hispanic Alliance for Career Enhancement; Town of Texas (WI); Hybrid; USD 54,000 - 130,000; Full time

Job summary

A leading healthcare provider is seeking a Case Manager RN for a full-time remote telehealth position. Candidates must reside in the Continental U.S. and possess an unrestricted nursing license. Responsibilities include assessing and coordinating care for members with complex health needs. This role offers an inclusive benefits package and a competitive salary ranging from $54,095 to $129,615, depending on experience.

Benefits

401(k) plan

Affordable medical plan options

Employee stock purchase plan

Tuition assistance

Flexible work schedules

Qualifications

• Must reside in the Continental United States and hold an unrestricted nursing license.
• 3+ years clinical/nursing practice experience.
• 1+ years of medical case management experience.

Responsibilities

• Assess, plan, implement, and coordinate case management activities.
• Use clinical tools to evaluate members’ needs.
• Collaborate with healthcare providers in care planning.

Skills

Registered Nurse

Clinical judgment

Motivational interviewing

Communication skills

Education

Associate’s degree in nursing

BSN

Tools

MS Office Suite

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose‑driven colleagues—caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

Position Summary

This is a full‑time, remote, telehealth role. Must live in a compact state and hold a compact license. Working schedule is Monday‑Friday, standard business hours in the time zone of residence with one to two days per week until 7 PM.

This is an exciting team to join because we specialize in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral, and social challenges. We’re uniquely positioned to meaningfully improve health outcomes and costs.

As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and facilitate the member’s overall wellness. You will develop a proactive course of action to address the issues presented to enhance their short and long‑term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

You will also:

• Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
• Conduct assessments that consider information from various sources to address all conditions including co‑morbidity and multiple diagnoses that impact functionality.
• Use a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
• Collaborate with supervisor and other key stakeholders in the member’s health care in overcoming barriers in meeting goals and objectives.
• Utilize case management processes in compliance with regulatory and company policies and procedures.
• Utilize motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
• Work on behalf of the client and the member’s provider.

Required Qualifications

• Registered Nurse that must reside in the Continental United States and hold an unrestricted nursing license with multi‑state/compact privileges and have the ability to be licensed in all non‑compact states.
• 3+ years clinical/nursing practice experience
• High speed internet—ability to hard wire computer.
• 1+ year(s) of medical case management experience, care coordination or discharge planning.
• 3+ years of experience with personal computers, keyboarding, multi‑systems navigation, and MS Office Suite applications

Preferred Qualifications

• Telephonic case management experience
• Excellent communication and interpersonal skills

Education

Associate’s degree in nursing required
BSN preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 – $129,615.00

This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits—investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 11/05/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.