Case Manager RN

CVS Health Corporation; Phoenix (AZ); Remote; USD 54,000 - 130,000; 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 a remote Case Manager RN to assess and coordinate care for members of our Federal Plans. This 100% remote role requires a clinical background, strong communication and data-driven decision making to promote wellness and appropriate resource use.

You will conduct comprehensive assessments, develop care plans, advocate for coverage, and collaborate with healthcare providers to improve outcomes. Normal hours are Mon-Fri, 8:00am-5:30pm AZ time.

Qualifications

• Active, current RN license in state of residence
• Ability to be licensed in all non-compact states
• Willingness to work Monday–Friday, 8h shift 8am–5:30pm Arizona time

Responsibilities

• Telephonically assess and coordinate case management activities for members
• Develop proactive care plans to address short- and long-term health outcomes
• Advocate for patients to maximize healthcare coverage and resources
• Conduct comprehensive clinical assessments and identify needs
• Utilize data-driven methods to tailor case management programs
• Promote quality, cost-effective outcomes and program efficiency
• Identify and escalate quality-of-care issues
• Assess health literacy and technology capabilities of members
• Employ motivational interviewing to engage members in behavior changes

Skills

Nursing

Communication

Customer service

Education

Associate's degree

BSN preferred

Tools

MS 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.

Position Summary

This Case Manager RN position is 100% remote, no travel is expected with this position.

Normal Working Hours: Monday through Friday, 8 hour shift between 8am to 5:30pm Arizona time

The Nurse Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans. The Case Manager is responsible to evaluate the medical needs of the member in order to facilitate and promote the member’s overall wellness. The Case Manager develops a proactive course of action to address issues presented to enhance the member's short and long term outcomes.

• Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs.
• Conduct comprehensive clinical assessments.
• Evaluate needs and develop flexible approaches based on member needs, benefit plans or external programs/services.
• Advocate for patients to the full extent of existing health care coverage.
• Promote quality, cost effective outcomes, and make suggestions to improve program/operational efficiency.
• Identify and elevate quality of care issues through established channels.
• Provide an expected very high level of customer service.
• Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.

Required Qualifications

• Must have active, current and unrestricted RN licensure in state of residence and have the ability to be licensed in all non-compact states.
• Must be willing and able to work Monday through Friday, 8 hour shift between 8am to 5:30pm Arizona time
• Must live in either PST, MST, or Arizona Time zones
• 3+ years of clinical practice experience required
• 1+ years of experience utilizing MS Office suites

Preferred Qualifications

• Case management experience preferred
• Case Manager Certification

Education

Associate's degree 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 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: 10/13/2026

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