Case Manager RN (KS, MO)

CVS Health; United States; Remote; USD 54,000 - 117,000; Full time

Job summary

CVS Health is seeking a healthcare professional to facilitate benefits delivery and promote wellness activities. The ideal candidate will have a Registered Nurse license, relevant clinical experience, and strong analytical and communication skills. Join our mission to transform healthcare and improve outcomes for millions across the nation in a role that emphasizes compassionate care and strategic health management.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings and tobacco cessation programs

Flexible work schedules

Tuition assistance

Paid time off

Qualifications

• Minimum 3-5 years clinical practical experience with Medicare members.
• Minimum 2-3 years CM, discharge planning, or home health care experience.
• Willingness to obtain multi-state RN licenses if needed.

Responsibilities

• Facilitate delivery of benefits and healthcare information for eligibility.
• Develop and support health strategies and wellness programs.
• Manage clinical coverage and network policies.

Skills

Analytical skills

Problem-solving skills

Communication skills

Organizational skills

Interpersonal skills

Education

Registered Nurse with active state license

Bachelor’s degree or equivalent experience

Certified Case Manager (preferred)

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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

• Active Compact License or single state licensure in MO and KS, if living in a noncompact state

Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.

• Minimum 2-3 years CM, discharge planning and/or home health care coordination experience

• Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise

Preferred Qualifications

• Excellent analytical and problem-solving skills

• Effective communications, organizational, and interpersonal skills.

• Ability to work independently (may require working from home).

• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

• Efficient and Effective computer skills including navigating multiple systems and keyboarding

Willing and able to obtain multi state RN licenses if needed, company will provide.

Education

• Registered Nurse with active state license in good standing within the region where job duties are performed is required.

• Bachelor’s degree or equivalent experience, applicant would be required to obtain a bachelor’s degree within 3-5 years as part of role development, state licensing laws may apply

• Certified Case Manager is preferred.

• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required

Anticipated Weekly Hours

40

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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

• Active Compact License or single state licensure in MO and KS, if living in a noncompact state

Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.

• Minimum 2-3 years CM, discharge planning and/or home health care coordination experience

• Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise

• Bilingual preferred

Preferred Qualifications

• Excellent analytical and problem-solving skills

• Effective communications, organizational, and interpersonal skills.

• Ability to work independently (may require working from home).

• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

• Efficient and Effective computer skills including navigating multiple systems and keyboarding

Willing and able to obtain multi state RN licenses if needed, company will provide.

Education

• Registered Nurse with active state license in good standing within the region where job duties are performed is required.

• Bachelor’s degree or equivalent experience, applicant would be required to obtain a bachelor’s degree within 3-5 years as part of role development, state licensing laws may apply

• Certified Case Manager is preferred.

• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/20/2025

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

About the company

At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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