Remote RN Case Manager | Telephonic Care Navigator

CVS Health; Columbia (SC); Remote; USD 54,000 - 156,000; Full time

Job summary

CVS Health, a leading health services company, is hiring a remote RN Case Manager to support members nationwide. The role involves telephonic care coordination, applying guidelines, and collaborating with clinicians to optimize benefits.

Ideal candidates have 5+ years nursing experience, multi-state licensure, and oncology exposure. The position offers full-time hours, a comprehensive benefits package, and a remote work setup across the United States.

Qualifications

• Must be a Registered Nurse with 5+ years of experience including hospital work.
• Must hold active RN license(s) across states as allowed by NLC.
• Experience documenting electronically with a keyboard.
• Experience in Oncology preferred.

Responsibilities

• Work as telephonic case manager for fully and/or self-insured clients.
• Apply clinical guidelines and policies to determine benefits and member needs.
• Use motivational interviewing to engage members and assess health status.
• Collaborate with supervisors and teams to resolve case management goals.
• Conduct medical necessity reviews.

Skills

RN case management

Telephonic care coordination

Cross-state licensing

Clinical assessment

Communication skills

Education

Nursing Diploma or Associate Degree

Job description

CVS Health, a leading health services company, is hiring a remote RN Case Manager to support members nationwide. The role involves telephonic care coordination, applying guidelines, and collaborating with clinicians to optimize benefits.

Ideal candidates have 5+ years nursing experience, multi-state licensure, and oncology exposure. The position offers full-time hours, a comprehensive benefits package, and a remote work setup across the United States.