Remote RN Case Manager Health Navigator

CVS Health Corporation; Harrisburg (Dauphin County); Remote; USD 61,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement savings plan

Wellness programs

Job summary

CVS Health Corporation is hiring a Remote RN Case Manager to guide members through complex healthcare journeys from anywhere in the U.S. This role emphasizes personalized care planning, advocacy, and coordination with providers to improve health outcomes.

The position requires an unrestricted RN license, 3+ years nursing experience, and willingness to work a Monday–Friday schedule with potential late shifts and on-call coverage. BSN preferred; multi-state licensure supported by the company.

Qualifications

• Active, unrestricted RN license in your state of residence.
• Ability to obtain multi-state licensure (company-paid).
• 3+ years of clinical nursing experience.
• 1+ year of experience using Microsoft Office (Outlook, Word, Excel).
• Ability to work Monday–Friday with schedules starting as early as 8:00 AM in your local time zone.
• Ability to participate in rotating late shifts (up to 8:00 PM EST) and holiday on-call coverage as needed.

Responsibilities

• Conduct telephonic assessments of members' medical, behavioral, and social needs.
• Develop individualized care plans to support improved health outcomes.
• Identify barriers to care and implement strategies to reduce risk and improve member engagement.
• Coordinate care across providers, programs, and community resources.
• Review clinical information, claims history, and benefit eligibility to support interventions.
• Utilize motivational interviewing and clinical judgment to engage members and support goals.
• Collaborate with multidisciplinary teams to address complex cases and outcomes.
• Ensure compliance with regulatory requirements and company standards.

Skills

RN license

Multi-state licensure

Clinical nursing experience

MS Office proficiency

Education

Associate Degree in Nursing

BSN preferred

Tools

Microsoft Office 365

Job description

CVS Health Corporation is hiring a Remote RN Case Manager to guide members through complex healthcare journeys from anywhere in the U.S. This role emphasizes personalized care planning, advocacy, and coordination with providers to improve health outcomes.

The position requires an unrestricted RN license, 3+ years nursing experience, and willingness to work a Monday–Friday schedule with potential late shifts and on-call coverage. BSN preferred; multi-state licensure supported by the company.