Case Manager Registered Nurse

4062 Aetna Resources, LLC

Ohio

Hybrid

USD 61,000 - 130,000

Full time

3 days ago
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Benefits offered by this job

Medical benefits
PTO
Retirement plan
Wellness programs
Comprehensive benefits

Job summary

CVS Health is seeking an experienced Registered Nurse Case Manager for a 100% remote role in the United States. The RN will navigate members through complex healthcare journeys, develop individualized care plans, and coordinate services across the care continuum with oncology focus.

The role requires 3+ years acute care RN experience, 3–5 years oncology, ADN (BSN preferred), CCM certification, and proficiency in Microsoft Office.

Qualifications

  • Active, unrestricted RN license in state of residence.
  • Willingness to obtain additional state licenses (company-paid).
  • 3+ years of acute care hospital RN experience.
  • 3–5 years acute oncology experience required
  • Associate Degree in Nursing (ADN).
  • Certified oncology nurse or certified chemotherapy nurse preferred
  • 1+ year of Case Management/Home Health experience.
  • Certified Case Manager (CCM) certification.
  • Proficiency with Microsoft Office (Word, Excel, PowerPoint).
  • Excellent telephonic communication and member engagement skills.
  • BSN preferred.

Responsibilities

  • Conduct telephonic and occasional face-to-face assessments to evaluate member healthcare needs.
  • Develop individualized care plans that improve health outcomes and overall wellness.
  • Coordinate services, resources, and programs to support members with complex medical and social needs.
  • Apply clinical expertise to identify risks, remove barriers to care, and facilitate successful transitions across the healthcare continuum.
  • Partner with multidisciplinary teams to optimize member outcomes and support effective claim management.
  • Engage members through strong communication and motivational interviewing techniques.

Skills

Telephonic communication
Case management
Motivational interviewing
Patient engagement
Time management

Education

ADN
BSN preferred

Tools

Microsoft Office

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 – Oncology experience required

Work from home from anywhere in the U.S.! We are seeking a compassionate and clinically skilled RN Case Manager to join our team and help members navigate their healthcare journey through comprehensive case management and care coordination.

What You’ll Do
  • Conduct telephonic and occasional face-to-face assessments to evaluate member healthcare needs.
  • Develop individualized care plans that improve health outcomes and overall wellness.
  • Coordinate services, resources, and programs to support members with complex medical and social needs.
  • Apply clinical expertise to identify risks, remove barriers to care, and facilitate successful transitions across the healthcare continuum.
  • Partner with multidisciplinary teams to optimize member outcomes and support effective claim management.
  • Engage members through strong communication and motivational interviewing techniques.
What We’re Looking For
  • Active, unrestricted RN license in state of residence.
  • Willingness to obtain additional state licenses as needed (company-paid).
  • 3+ years of acute care hospital RN experience (medical-surgical, post-surgical, ICU, or similar).
  • 3–5-year acute oncology experience required
  • Associate Degree in Nursing (ADN).
  • Preferred: Compact RN license.
  • Certified oncology nurse or certified chemotherapy nurse preferred
  • 1+ year of Case Management and/or Home Health experience.
  • Certified Case Manager (CCM) certification.
  • Proficiency with Microsoft Office (Word, Excel, PowerPoint).
  • Excellent telephonic communication and member engagement skills.
  • BSN preferred.
Schedule & Benefits

100% Remote role; candidates may reside in any U.S. state. Monday–Friday schedule with no weekends or holidays required. Flexible 8-hour shifts between 8:00 AM–6:00 PM in your local time zone. Occasional late-shift rotation until 8:00 PM. Less than 5% travel for potential clinical audits.

If you're passionate about helping patients achieve better health outcomes while enjoying the flexibility of a remote work environment, we'd love to hear from you.

Pay Range The typical pay range for this role is: $60,522.00 - $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.

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.

We anticipate the application window for this opening will close on: 11/12/2026

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

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

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