Case Manager Registered Nurse

CVS Health Corporation; Maine; Hybrid; USD 54,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking an experienced RN Case Manager to provide telephonic case management for members with complex healthcare needs. You will assess, plan, coordinate, and manage care while helping members navigate resources and improve health outcomes.

This remote, full-time role offers Monday–Friday hours (7:00 AM–6:00 PM CST), flexible lunch options, no nights or weekends, and a comprehensive benefits package including medical, dental, and vision coverage.

Qualifications

• 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 Monday–Friday business hours.

Responsibilities

• Conduct telephonic assessments and develop individualized care plans.
• Identify health risks, barriers, and opportunities to improve member wellness.
• Coordinate care, referrals, and transitions to 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.

Skills

Clinical RN experience

RN licensure

Education

ADN

BSN (Preferred)

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Registered Nurse (RN) Case Manager – Remote

Make a meaningful impact on member health and wellness.

We are seeking an experienced RN Case Manager to provide telephonic case management support for members with complex healthcare needs. In this role, you will assess, plan, coordinate, and manage care while helping members navigate resources, improve health outcomes, and overcome barriers to care.

What You'll Do

• 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.

Schedule

• Monday–Friday schedules available between 7:00 AM – 6:00 PM CST

• Flexible schedule selection within business hours

• Choice of 30- or 60-minute unpaid lunch

• No nights, weekends, or holidays currently required (subject to change based on business needs)

Required Qualifications

• 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

Preferred Qualifications

• 6+ months of Case Management or Utilization Management experience

• Case Management Certification (CCM or equivalent)

• BSN

If you're a compassionate RN who enjoys helping members achieve better health outcomes while maintaining a strong work-life balance, we'd love to hear from you.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $142,576.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 10/13/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.