Remote RN Case Manager – Care Coordination & Wellness

4062 Aetna Resources, LLC; Kansas; Hybrid; USD 54,000 - 117,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Remote RN Case Manager to facilitate benefits delivery and eligibility, promote wellness, and support timely returns to work. The role emphasizes coordination across network management and clinical policies while leveraging home health and post-acute care experience.

The ideal candidate has 3+ years of clinical practice, CT Zone residency, and RN licensure with willingness to obtain multi-state licenses. Strong analytical and communication skills are essential.

Qualifications

• 3+ years of clinical practice in a relevant field.
• Preference for backgrounds in diabetes, CHF, CKD, post-acute care, hospice or palliative care.
• Experience with discharge planning and/or home health care coordination.
• Candidates must be located in Central Time Zone (CST).
• Strong analytical, problem-solving, and communication skills.
• Ability to work independently.
• Willingness to obtain multi-state RN licenses; company reimburses expenses.
• Bilingual abilities; professional certifications such as CRC, CDMS, CRRN, COHN, or CCM.

Responsibilities

• Facilitate delivery of benefits and healthcare information to determine eligibility.
• Develop, implement, and support health strategies, policies, and programs.
• Promote wellness activities and ensure timely return to work.
• Coordinate with network management, clinical coverage, and policies.

Skills

Diabetes care

CHF care

CKD care

Post-acute care

Hospice care

Palliative care

Cardiac care

Case management

Discharge planning

Home health coordination

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Job description

CVS Health is seeking a Remote RN Case Manager to facilitate benefits delivery and eligibility, promote wellness, and support timely returns to work. The role emphasizes coordination across network management and clinical policies while leveraging home health and post-acute care experience.

The ideal candidate has 3+ years of clinical practice, CT Zone residency, and RN licensure with willingness to obtain multi-state licenses. Strong analytical and communication skills are essential.