Remote RN Case Manager: Care Coordination & Wellness

CVS Health; United States; On-site; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Community Care Case Manager to collaborate with members, providers, and families to coordinate comprehensive care while promoting wellness and timely return to work. The role emphasizes evidence-based care and regulatory compliance in a patient-centered model.

The ideal candidate holds an active RN license and 3+ years of clinical experience with Medicare populations, plus 2+ years in case management or discharge planning; strong MS Office skills are required.

Qualifications

• Active and unrestricted RN license in resident state or MA/NY license.
• 3+ years clinical experience in diabetes, CHF, CKD, post-acute care, hospice, or palliative care with Medicare members.
• 2+ years case management, discharge planning or home health coordination.
• Proficiency with MS Word, Excel, Outlook, PowerPoint and proprietary applications.

Responsibilities

• Coordinate case management for catastrophic and chronically ill members.
• Interact with members telephonically or in person; home visits as needed.
• Assess medical and vocational status; plan care to optimize outcomes.
• Communicate with providers, insurers, and employers; document activities.

Skills

Active RN License

Clinical Experience

Case Management

MS Office Proficiency

Education

Associate's Degree in Nursing

Bachelor’s Degree preferred

Tools

MS Word

Excel

PowerPoint

Teams

Job description

CVS Health is seeking a Community Care Case Manager to collaborate with members, providers, and families to coordinate comprehensive care while promoting wellness and timely return to work. The role emphasizes evidence-based care and regulatory compliance in a patient-centered model.

The ideal candidate holds an active RN license and 3+ years of clinical experience with Medicare populations, plus 2+ years in case management or discharge planning; strong MS Office skills are required.