Remote RN Case Manager — Health Care Advocate

4062 Aetna Resources, LLC; North Carolina; Hybrid; USD 54,000 - 130,000; Full time

Job summary

CVS Health is seeking a Case Manager RN for a fully remote role. The position supports members with assessment, planning, and advocacy to meet health needs and benefits, with no travel and a standard Mon-Fri schedule, aligned to the resident time zone.

The RN will manage multiple priorities, coordinate care, and collaborate with medical directors to discharge planning and ensure cost‑effective outcomes. A current RN license and 3+ years acute care experience are required.

Qualifications

• Active RN license in state of residence.
• Willingness to obtain additional state licenses.
• 3+ years of acute care RN experience.
• Able to work Mon-Fri 8:00am–4:30pm in residence time zone with occasional late shift (11:00 AM-8:00 PM EST) once per Quarter.

Responsibilities

• Apply data driven methods to identify members and fashion individualized case management programs or referrals.
• Conduct comprehensive clinical assessments.
• Evaluate needs and develop flexible approaches based on member needs and benefit plans.
• Advocate for patients to maximize health care coverage.
• Promote quality, cost-effective outcomes and improve program efficiency.
• Identify and elevate quality of care issues through established channels.
• Provide an expected very high level of customer service.
• Assess member health literacy, technology capabilities, and readiness to change.
• Use motivational interviewing to engage members and promote healthy changes.
• Provide coaching, information, education, and support for independent medical decisions.

Skills

RN license

Licensure expansion

Acute care RN

Time management

Communication

Education

Associate degree

Bachelor's degree preferred

Job description

CVS Health is seeking a Case Manager RN for a fully remote role. The position supports members with assessment, planning, and advocacy to meet health needs and benefits, with no travel and a standard Mon-Fri schedule, aligned to the resident time zone.

The RN will manage multiple priorities, coordinate care, and collaborate with medical directors to discharge planning and ensure cost‑effective outcomes. A current RN license and 3+ years acute care experience are required.