Remote RN Case Manager: Expert Care Coordination & Advocacy

4062 Aetna Resources, LLC; New York (NY); Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Paid time off

Wellness programs

Job summary

CVS Health is seeking a remote Case Manager RN to support members across state lines. The role involves assessment, planning, advocacy, and coordination to meet benefit plans and health needs.

You will work in a queue-based setting with flexibility around evenings, weekends, and holidays, while maintaining high standards of service and collaboration with healthcare teams. The position requires an active RN license, 3+ years acute care experience, strong communication skills, and proficiency with

Qualifications

• Active and unrestricted RN license in state of residence; multi-state licensure possible.
• 3+ years of acute care RN experience.
• 3+ years of experience with Microsoft Office Suite.
• Strong problem-solving and clinical decision-making skills.
• Ability to handle sensitive information professionally and confidentiality.
• Excellent communication and relationship-building skills.
• Ability to work with diverse patient populations and care teams.

Responsibilities

• Apply data driven methods to tailor case management programs.
• Conduct comprehensive clinical assessments.
• Assess needs and develop flexible plans based on benefits or external programs.
• Advocate for patients for health coverage.
• Promote quality, cost-effective outcomes and improve efficiency.
• Identify and escalate quality issues through established channels.
• Provide high level of customer service.
• Assess health literacy and technology capabilities; readiness to change.
• Use motivational interviewing to engage members and promote healthy choices.
• Provide coaching and education to empower independent medical decisions.

Skills

RN license

Acute care

Microsoft Office

Communication

Confidentiality

Teamwork

Education

Associate Degree in Nursing

BSN preferred

Tools

Microsoft Office 365

Job description

CVS Health is seeking a remote Case Manager RN to support members across state lines. The role involves assessment, planning, advocacy, and coordination to meet benefit plans and health needs.

You will work in a queue-based setting with flexibility around evenings, weekends, and holidays, while maintaining high standards of service and collaboration with healthcare teams. The position requires an active RN license, 3+ years acute care experience, strong communication skills, and proficiency with