Case Manager RN - Work From Home - Boston, Massachusetts

4062 Aetna Resources, LLC; Massachusetts; Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking an RN Case Manager to assess and coordinate care for members, both telephonically and in person when needed. The role emphasizes wellness, proactive action plans, and collaboration with plan programs.

This 100% remote position requires EST residency with MA preference forCompact RN licensure. Mon-Fri 8am-5pm in residence timezone; occasional travel up to 0-10% may be required. Comprehensive benefits accompany the base pay range.

Qualifications

• Active and unrestricted RN license in state of residence, preferably compact.
• RN living in EST time zone.
• Willingness to obtain additional state licenses (paid by company).
• 3+ years of acute care RN experience across general medical, post-surgical, pediatrics, ICU, case management, discharge planning.

Responsibilities

• Assess, plan, implement, and coordinate case management activities for members.
• Evaluate medical needs to facilitate overall wellness and appropriate program referrals.
• Use clinical tools and data (claims, assessments) to identify needs and benefits.
• Apply clinical judgment to reduce risk factors and address complex health issues.
• Maintain compliance with regulatory and company policies in case management.

Skills

RN clinical experience

Telephonic communication

Customer service

Multitasking with multiple monitors

Education

Associates in nursing

BSN

Tools

Microsoft 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 RN Case Manager position is 100% remote and candidates are required to live EST. Preference is for an RN with Compact RN licensure residing in Massachusetts.

Normal Working Hours

Monday through Friday 8am-5pm in time zone of residence with requirement to flex time to meet member/business needs.

RN Case Manager

The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.

• Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
• Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.
• Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.
• Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Please note

• This role involves using a computer station with multiple screens, operating multiple programs simultaneously, and sitting for extended periods of time.
• A private designated workspace free of distractions and high-speed internet is needed for this position.

Required Qualifications

• Must have an active and unrestricted RN license in state of residence, preferably compact
• RN living in EST Time Zone
• Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
• 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)
• 0-10% travel may be required

Preferred Qualifications

• Compact RN licensure
• 1+ years of case management experience
• Certified Case Manager (CCM) certification
• Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.
• Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
• Strong telephonic communication skills
• 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.
• Transgender certification

Education

• Associates in nursing
• BSN

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $66,575.00 - $142,576.00

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: 11/07/2026

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

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.

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.