Remote RN Case Manager & Telephonic Care Coordinator

CVS Health; Boston (MA); Remote; USD 54,000 - 156,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a remote RN Case Manager to coordinate care for members across multiple states. The role involves telephonic case management, applying clinical guidelines, and collaborating with care teams to optimize benefits and outcomes.

The position requires an active RN license with multi-state authority, at least 5 years of nursing experience (hospital setting preferred), and oncology exposure. AHH is part of the CVS Health family, offering comprehensive benefits.

Qualifications

• Active RN license with multi-state eligibility (NLC) across states served.
• 5+ years RN experience, including hospital setting.
• Experience documenting electronically using a keyboard.
• Oncology experience preferred or required.

Responsibilities

• Perform telephonic case management with patients and care teams.
• Apply clinical criteria and care plans to assess benefits and member needs.
• Use motivational interviewing to engage members and assess health status.
• Ensure compliance with regulatory standards and organizational policies.

Skills

RN Case Management

Multistate license (NLC)

Electronic documentation

Oncology experience

Telephonic case management

Education

Nursing diploma/associates

Tools

MCG

NCCN

Lexicomp

Job description

CVS Health is seeking a remote RN Case Manager to coordinate care for members across multiple states. The role involves telephonic case management, applying clinical guidelines, and collaborating with care teams to optimize benefits and outcomes.

The position requires an active RN license with multi-state authority, at least 5 years of nursing experience (hospital setting preferred), and oncology exposure. AHH is part of the CVS Health family, offering comprehensive benefits.