Case Manager - Registered Nurse (Remote - CST, Compact RN License)

4062 Aetna Resources, LLC; Kansas; Hybride; USD 54 000 - 117 000; Plein temps

Avantages offerts par ce poste

Health insurance

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Résumé du poste

CVS Health is seeking a Remote RN Case Manager to facilitate benefits delivery and eligibility, promote wellness, and support timely returns to work. The role emphasizes coordination across network management and clinical policies while leveraging home health and post-acute care experience.

The ideal candidate has 3+ years of clinical practice, CT Zone residency, and RN licensure with willingness to obtain multi-state licenses. Strong analytical and communication skills are essential.

Qualifications

• 3+ years of clinical practice in a relevant field.
• Preference for backgrounds in diabetes, CHF, CKD, post-acute care, hospice or palliative care.
• Experience with discharge planning and/or home health care coordination.
• Candidates must be located in Central Time Zone (CST).
• Strong analytical, problem-solving, and communication skills.
• Ability to work independently.
• Willingness to obtain multi-state RN licenses; company reimburses expenses.
• Bilingual abilities; professional certifications such as CRC, CDMS, CRRN, COHN, or CCM.

Responsabilités

• Facilitate delivery of benefits and healthcare information to determine eligibility.
• Develop, implement, and support health strategies, policies, and programs.
• Promote wellness activities and ensure timely return to work.
• Coordinate with network management, clinical coverage, and policies.

Connaissances

Diabetes care

CHF care

CKD care

Post-acute care

Hospice care

Palliative care

Cardiac care

Case management

Discharge planning

Home health coordination

Formation

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Description du poste

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

Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies.

Required Qualifications

Candidate must be located in Central Time Zone (CST) 3+ years clinical practical experience required with preference for the following backgrounds: diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members 2+ years case management, discharge planning and/or home health care coordination experience

Preferred Qualifications

Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently Willing and able to obtain multi state RN licenses if needed, company will reimburse expense Bilingual National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

Education

Associate's Degree in Nursing (REQUIRED) Bachelor's Degree in Nursing (PREFERRED)

License

Active and unrestricted Compact Registered Nurse (RN) License in the state of residence

Work from Home Requirements

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Future Growth: Openness to learning new skills in the future as the workplace environment evolves

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $54,095.00 - $116,760.00 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: 11/18/2026 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.