Case Manager RN - Must reside in North Carolina

CVS Health Corporation; North Carolina; Hybrid; USD 54,000 - 117,000; Full time

Benefits offered by this job

Remote work

License support

Benefits package

Job summary

CVS Health is seeking a 100% remote RN Case Manager in North Carolina. You will conduct telephonic assessments, develop care plans, and collaborate with providers to improve health outcomes, all while ensuring compliance with case management standards.

Candidates must have an active NC RN license and at least 2 years of clinical experience. Remote work, schedule Mon-Fri, with limited travel where applicable, are key highlights of this role.

Qualifications

• Active, unrestricted RN license in North Carolina.
• Must reside in North Carolina.
• Minimum 2 years of RN clinical experience.
• Associate Degree in Nursing.
• Experience in multiple clinical settings (ICU, NICU, ED, Med/Surg, Telemetry, OR, Home Health, Hospice, LTC, Infusion, Orthopedics, and more).
• Strong communication and member engagement skills.

Responsibilities

• Conduct telephonic assessments to identify members' medical, behavioral, and social needs.
• Develop and coordinate personalized care plans to support overall wellness.
• Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care.
• Utilize clinical judgment to address complex health conditions and improve outcomes.
• Support members through transitions of care and connect them with appropriate resources.
• Maintain compliance with regulatory and company case management standards.

Skills

RN license NC

2+ years RN experience

Strong communication

Regulatory knowledge

Education

Associate Degree in Nursing

Tools

Microsoft Office Suite

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.

Remote RN Case Manager (North Carolina)

Work from Home | Monday-Friday Schedule | Great Work-Life Balance

Are you a compassionate Registered Nurse looking to leverage your clinical expertise in a remote role? Join our team as an RN Case Manager and help improve health outcomes by guiding members through their healthcare journey.

What You'll Do

• Conduct telephonic assessments to identify members’ medical, behavioral, and social needs
• Develop and coordinate personalized care plans to support overall wellness
• Collaborate with healthcare providers and multidisciplinary teams to remove barriers to care
• Utilize clinical judgment to address complex health conditions and improve outcomes
• Support members through transitions of care and connect them with appropriate resources
• Maintain compliance with regulatory and company case management standards

What We're Looking For - REQUIRED

• Active, unrestricted RN license in North Carolina
• Must reside in North Carolina
• Minimum 2 years of RN clinical experience
• Associate Degree in Nursing
• Experience in any clinical setting considered, including:
• ICU, NICU, Emergency Department
• Med/Surg, Telemetry, OR
• Home Health, Hospice
• Long-Term Care, Infusion, Orthopedics, and more
• Strong communication and member engagement skills

Preferred Qualifications

• Certified Case Manager (CCM)
• BSN
• Case Management or Managed Care experience
• Discharge Planning experience
• Proficiency with Microsoft Office Suite

Schedule & Location

• 100% Remote (Telework)
• Must live in North Carolina
• Monday-Friday, 9:00 AM-5:30 PM EST
• Occasional evenings, weekends, holidays, and limited travel (up to 10%)

Why Join Us?

• Remote work flexibility
• Opportunity to make a meaningful impact on members' health and well-being
• Professional growth in care management
• Company-paid support for obtaining additional state RN licenses

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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 10/17/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.