Remote RN Case Manager – Care Coordination Leader

CVS Health Corporation; Kentucky; Remote; USD 61,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a seasoned RN to administer and coordinate comprehensive patient care plans, ensuring smooth transitions across care settings. You will analyze medical data, organize files, and communicate securely to support personalized care.

The role requires an active RN license, 5+ years of experience, and strong problem solving, ethics, and digital literacy. Work-from-home with state-specific residency and HIPAA guidelines.

Qualifications

• 5+ years of relevant work experience.
• Active and unrestricted Registered Nurse licensure in state of residence.
• Strong problem solving and decision making skills.
• Working knowledge of medical terminology.
• Working knowledge of digital literacy skills.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly.
• Ability to consider costs and benefits of actions to choose best option.
• Ability to function in clinical settings with diverse cultural dynamics.

Responsibilities

• Administers and coordinates care plans to assess patient needs and ensure seamless transitions between care settings.
• Analyzes complex patient data from medical history, diagnostics, and treatment plans.
• Organizes patient files for easy retrieval and compliance with HIPAA.
• Communicates securely via internal platforms to share information and collaborate on patient care plans.
• Conducts routine utilization reviews to ensure cost-effective care.
• Configures the case management system to track disease management and utilization review.
• Coordinates analytics projects to generate reports on health indicators.
• Designs processes to coordinate discharge planning from hospital to home.
• Develops resource management strategies to optimize healthcare with community resources.

Skills

Problem solving

Digital literacy

Communication

Ethical handling

Clinical collaboration

Customer-focused

Education

Associate’s Degree in Nursing

Bachelor’s Degree (preferred)

Job description

CVS Health Corporation is seeking a seasoned RN to administer and coordinate comprehensive patient care plans, ensuring smooth transitions across care settings. You will analyze medical data, organize files, and communicate securely to support personalized care.

The role requires an active RN license, 5+ years of experience, and strong problem solving, ethics, and digital literacy. Work-from-home with state-specific residency and HIPAA guidelines.