Remote RN Case Manager - Care Coordination & Travel

CVS Health; New York (NY); Remote; USD 61,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, vision

Retirement savings options

Job summary

CVS Health is seeking a Case Manager Registered Nurse to work remotely with travel to Maricopa County, AZ. You will coordinate and document utilization management activities, provide care coordination, support, and education to members, and apply evidence-based criteria for medical necessity.

The role requires an active AZ RN license, residing in Maricopa County, and up to 25% travel. This full-time position offers comprehensive benefits and opportunities to impact member care across CVS Health.

Qualifications

• 2+ years of experience in a clinical setting.
• Active RN license, valid in the state of Arizona.
• Must reside in Maricopa County, Arizona.
• Ability to travel up to 25% of the time within Maricopa County, Arizona.

Responsibilities

• Coordinate, document, and communicate utilization/benefit management activities.
• Provide care coordination, support, and education to members.
• Apply clinical judgment and evidence-based criteria to determine medical necessity.

Skills

Case management

Travel readiness

Bilingual English/Spanish

Time management

Education

Bachelor’s degree in Nursing

Associate’s degree

Tools

Microsoft Office Suite

Outlook

Word

Excel

Job description

CVS Health is seeking a Case Manager Registered Nurse to work remotely with travel to Maricopa County, AZ. You will coordinate and document utilization management activities, provide care coordination, support, and education to members, and apply evidence-based criteria for medical necessity.

The role requires an active AZ RN license, residing in Maricopa County, and up to 25% travel. This full-time position offers comprehensive benefits and opportunities to impact member care across CVS Health.