Remote RN Care Manager | Case Coordination & Wellness

IntelliResume; New Jersey; On-site; USD 86,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Care Manager Registered Nurse for a flexible, work-from-home role with travel. The position serves dual-eligible populations and emphasizes improving member health outcomes.

Ideal candidates will have a strong clinical background and a passion for proactive care planning. Responsibilities include coordinating case management, developing care plans, and collaborating with interdisciplinary teams to address barriers and optimize outcomes.

Qualifications

• Associate degree in Nursing required.
• 3+ years of clinical practice experience.
• 2+ years in Care Management, Discharge Planning, and/or Home Health Care Coordination preferred.
• Active and unrestricted RN licensure in NJ required.
• Certified Case Manager preferred.

Responsibilities

• Assess, plan, implement, and coordinate all case management activities with members.
• Develop a proactive plan of care to enhance member wellness.
• Conduct evaluations of member needs and benefits using clinical tools.
• Apply clinical judgment to reduce risk factors and address complex health indicators.
• Conduct assessments considering various sources, including claims data.
• Use a holistic approach to determine the need for referrals to clinical resources.
• Collaborate with supervisors and stakeholders to overcome barriers in care.
• Present cases at interdisciplinary case conferences.
• Utilize motivational interviewing skills for member engagement.
• Ensure compliance with regulatory and company policies in case management processes.

Skills

Clinical practice

Care management

Discharge planning

Home health care coordination

Education

Associate degree in nursing

Job description

CVS Health is seeking a Care Manager Registered Nurse for a flexible, work-from-home role with travel. The position serves dual-eligible populations and emphasizes improving member health outcomes.

Ideal candidates will have a strong clinical background and a passion for proactive care planning. Responsibilities include coordinating case management, developing care plans, and collaborating with interdisciplinary teams to address barriers and optimize outcomes.