Remote RN Case Manager — Chronic Care Coordinator (EST)

IntelliResume; Arizona; On-site; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a Case Manager - Registered Nurse (EST) to coordinate care for chronically ill members across multiple settings. The role is remote with residency in an EST state and requires strong care management and Medicare experience.

The position emphasizes acting as a liaison among members, families, employers, providers, and insurers, developing care plans, and monitoring outcomes. National eligibility, full-time schedule, and EST-state licensure are required.

Qualifications

• Associate’s Degree in Nursing required.
• Bachelor’s Degree in Nursing preferred.
• 2+ years of care management experience.
• 2+ years of Medicare experience.
• Active and unrestricted Compact RN licensure in state of residence required.
• Certified Case Manager or other national certification preferred.

Responsibilities

• Act as liaison with members, families, employers, providers, and insurers.
• Implement and coordinate case management for catastrophic and chronic cases.
• Interact with members by phone or in person, including home visits.
• Assess medical and vocational status of members.
• Develop a plan of care to optimize wellness and outcomes.
• Communicate with stakeholders regarding member care.
• Prepare documentation of case work activities.
• Consult with internal multidisciplinary teams for optimal health outcomes.
• Provide educational and prevention information for best medical outcomes.
• Monitor member progress toward desired outcomes through assessment.

Skills

Care coordination

Case management

Medicare experience

RN licensure

Education

Associate degree in nursing

Bachelor's degree in nursing preferred

Job description

CVS Health is seeking a Case Manager - Registered Nurse (EST) to coordinate care for chronically ill members across multiple settings. The role is remote with residency in an EST state and requires strong care management and Medicare experience.

The position emphasizes acting as a liaison among members, families, employers, providers, and insurers, developing care plans, and monitoring outcomes. National eligibility, full-time schedule, and EST-state licensure are required.