Remote RN Case Manager: Telephonic Care Coordination

CVS Health Corporation; Arkansas; Hybrid; USD 54,000 - 143,000; Full time

Job summary

CVS Health Corporation is seeking an experienced Registered Nurse Case Manager to provide telephonic case management support for members with complex healthcare needs. You will assess, plan, coordinate, and manage care while helping members navigate resources and improve health outcomes.

The role involves conducting assessments, identifying health risks, coordinating care with multidisciplinary teams, and ensuring compliance with policies.

Qualifications

• Active, unrestricted RN license in state of residence.
• Willingness to obtain a Compact RN license (company-paid).
• Minimum 5 years of clinical RN experience.
• Ability to work within Monday-Friday business hours.

Responsibilities

• Conduct telephonic assessments and develop individualized care plans.
• Identify health risks, barriers, and opportunities to improve member wellness.
• Coordinate care, referrals, and transitions to appropriate clinical programs and resources.
• Apply clinical judgment to support members with complex and co‑morbid conditions.
• Collaborate with multidisciplinary teams to achieve optimal member outcomes.
• Maintain compliance with regulatory requirements and company policies.

Skills

RN experience

Case Management

Utilization Management

Education

ADN

CCM Certification

BSN

Job description

CVS Health Corporation is seeking an experienced Registered Nurse Case Manager to provide telephonic case management support for members with complex healthcare needs. You will assess, plan, coordinate, and manage care while helping members navigate resources and improve health outcomes.

The role involves conducting assessments, identifying health risks, coordinating care with multidisciplinary teams, and ensuring compliance with policies.