Case Manager, Registered Nurse (Maricopa County, Arizona Candidates Only)

CVS Health; New York (NY); Remoto; USD 61.000 - 130.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, vision

Retirement savings options

Descrizione del lavoro

CVS Health is seeking a Case Manager Registered Nurse to work remotely with travel to Maricopa County, AZ. You will coordinate and document utilization management activities, provide care coordination, support, and education to members, and apply evidence-based criteria for medical necessity.

The role requires an active AZ RN license, residing in Maricopa County, and up to 25% travel. This full-time position offers comprehensive benefits and opportunities to impact member care across CVS Health.

Competenze

• 2+ years of experience in a clinical setting.
• Active RN license, valid in the state of Arizona.
• Must reside in Maricopa County, Arizona.
• Ability to travel up to 25% of the time within Maricopa County, Arizona.

Mansioni

• Coordinate, document, and communicate utilization/benefit management activities.
• Provide care coordination, support, and education to members.
• Apply clinical judgment and evidence-based criteria to determine medical necessity.

Conoscenze

Case management

Travel readiness

Bilingual English/Spanish

Time management

Formazione

Bachelor’s degree in Nursing

Associate’s degree

Strumenti

Microsoft Office Suite

Outlook

Word

Excel

Descrizione del lavoro

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.

Position Summary

The Case Manager Registered nurseis a work from home position with travel required (in Maricopa County, Arizona) to visit members. This person utilizes skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. They apply critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for members by providing care coordination, support, and education through the use of care management tools and resources.

Required Qualifications

• 2+ years of experience in a clinical setting.
• Active RN license, valid in the state of Arizona.
• Must reside in Maricopa County, Arizona.
• Ability to travel up to 25% of the time within Maricopa County, Arizona.

Preferred Qualifications

• 2+ years of experience in case management.
• Strong organizational and time management skills.
• Ability to collaborate with both internal and external partners.
• Demonstrated proficiency in Microsoft Office Suite, including Outlook, Word, etc.
• Previous experience collaborating with medical professionals.
• Bilingual (English/Spanish).
• Bachelor’s degree in Nursing.
• EducationAssociate’s degree.
• Anticipated Weekly Hours40

Time TypeFull time

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 peopleWe 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: 11/09/2026

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