Remote RN Case Manager - Telehealth Care Coordination

CVS Health; Boise (ID); Remote; USD 70,000 - 100,000; Full time

Job summary

CVS Health is seeking a Nurse Case Manager to deliver comprehensive case management services via phone or in person. You will assess, plan, implement, and coordinate care to support members' medical needs and wellness.

Role requires an active RN license, 3+ years in acute care or case management, 2+ years in Med/Surg, and availability Monday through Friday 8:00am–4:30pm in the local time zone. Home-based position within Idaho with required HIPAA-compliant workspace.

Qualifications

• RN license active and unrestricted in your state.
• Associate's Degree in Nursing required.
• 3+ years' experience in acute care and/or case management.
• 2+ years' Med/Surg experience.
• Willing to work Monday–Friday 8:00am–4:30pm local time zone.

Responsibilities

• Utilize clinical judgment to evaluate member eligibility and develop care plans.
• Conduct holistic assessments considering comorbidities and social determinants of health.
• Review prior claims, evaluate work capacity, and determine need for referrals.
• Collaborate with supervisors and multidisciplinary teams to optimize care planning.

Skills

Telephonic communication

Time management

Clinical judgment

Microsoft Office

Education

Associate's Degree in Nursing

RN License

Tools

EHR portal

VPN

Microsoft Office 365

Job description

CVS Health is seeking a Nurse Case Manager to deliver comprehensive case management services via phone or in person. You will assess, plan, implement, and coordinate care to support members' medical needs and wellness.

Role requires an active RN license, 3+ years in acute care or case management, 2+ years in Med/Surg, and availability Monday through Friday 8:00am–4:30pm in the local time zone. Home-based position within Idaho with required HIPAA-compliant workspace.