Registered Nurse (RN) Care Coordinator Quality Medical Management

CVS Health; Clifton (TX); Remote; USD 54,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health is seeking a Case Manager RN for a fully remote, nationwide role. You will conduct clinical assessments, develop and monitor care plans, and assist with discharge planning, while collaborating with Medical Directors and care teams.

Expect regular 9:00–17:30 local time hours and occasional late shift once a month. The role requires an active RN license, ~3+ years acute care experience (Med-Surg/CCU), CCM certification, and a nursing degree.

Qualifications

• Active, unrestricted RN license in your state of residence.
• Approximately 3+ years of acute care RN experience (Med-Surg or CC preferred).
• Compact or multi-state RN license.
• Certified Case Manager (CCM).
• Telephonic case management experience.
• Associate Degree in Nursing (required).
• 100% remote—live in any state.
• No travel required.

Responsibilities

• Conduct comprehensive clinical assessments and identify care coordination needs.
• Develop, implement, and monitor individualized case management plans.
• Support inpatient review and discharge planning as appropriate.
• Identify and elevate quality‑of‑care concerns.
• Deliver exceptional customer experience while collaborating with care teams and Medical Directors.

Skills

Acute care RN experience

RN license

Telephonic case management

Compact/multi-state RN license

Education

Associate Degree in Nursing

Certified Case Manager (CCM)

Job description

Case Manager RN (100% Remote – Nationwide)

Full‑Time | Work from Anywhere Nationwide | No Travel Required

We’re seeking a compassionate and results‑driven Case Manager RN to support members through personalized, high‑quality care coordination. In this fully remote role, you’ll use clinical expertise, data‑driven insights, and strong advocacy to help members achieve optimal, cost‑effective health outcomes.

• Conduct comprehensive clinical assessments and identify care coordination needs
• Develop, implement, and monitor individualized case management plans
• Support inpatient review and discharge planning as appropriate
• Identify and elevate quality‑of‑care concerns
• Deliver exceptional customer experience while collaborating with care teams and Medical Directors

Monday–Friday, 9:00 AM–5:30 PM (your local time zone)

Late shift, until 6pm (your local time zone) once/month

• Active, unrestricted RN license in your state of residence
• ~ 3+ years of acute care RN experience (Med‑Surg or Critical Care preferred)
• ~ Compact or multi‑state RN license
• Certified Case Manager (CCM)
• Telephonic case management or telephonic clinical experience
• Associate Degree in Nursing (required)
• 100% remote—live in any state
• ~ No travel required
• ~ Meaningful work improving member health and outcomes

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. 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 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.

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.