Remote RN Case Manager: Telephonic Care Coordination

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health Corporation is seeking an experienced RN Case Manager to provide telephonic case management for members with complex healthcare needs. This remote role involves assessing, planning, coordinating, and managing care while helping members navigate resources to improve health outcomes.

Key responsibilities include conducting telephonic assessments, identifying risks, coordinating care and referrals, and applying clinical judgment for complex cases.

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.
• Associate Degree in Nursing (ADN).
• Ability to work within Monday-Friday business hours.

Responsibilities

• Conduct comprehensive 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 license (unrestricted)

Compact RN license

5+ years RN experience

ADN

Education

ADN

BSN (preferred)

CCM or equivalent (certification)

Job description

CVS Health Corporation is seeking an experienced RN Case Manager to provide telephonic case management for members with complex healthcare needs. This remote role involves assessing, planning, coordinating, and managing care while helping members navigate resources to improve health outcomes.

Key responsibilities include conducting telephonic assessments, identifying risks, coordinating care and referrals, and applying clinical judgment for complex cases.