Remote RN Case Manager — Telephonic Care Navigator

CVS Health Corporation; Frankfort (KY); Remote; USD 54,000 - 156,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a remote RN Case Manager to support members across the United States. This role involves telephonic case management, applying clinical guidelines, and coordinating care with patients and their care teams.

The ideal candidate has 5+ years as a Registered Nurse, multi-state license familiarity, and experience with electronic documentation. Expect full-time hours and a comprehensive benefits package.

Qualifications

• Active RN license in the United States; multistate license preferred.
• 5+ years of RN experience, including hospital setting.
• Experience documenting electronically (EMR/KMS) using keyboard.

Responsibilities

• Handle telephonic case management with patients and care team.
• Assess benefits and needs; apply clinical guidelines and policies.
• Identify barriers to care; escalate as needed for case conferences.
• Use holistic approach with clinicians and supervisors to meet goals.
• Perform medical necessity reviews following regulatory standards.

Skills

Registered Nurse

Case management

Multistate license

Telephonic case mgmt

Education

Diploma or Associate Nursing Degree

Job description

CVS Health is hiring a remote RN Case Manager to support members across the United States. This role involves telephonic case management, applying clinical guidelines, and coordinating care with patients and their care teams.

The ideal candidate has 5+ years as a Registered Nurse, multi-state license familiarity, and experience with electronic documentation. Expect full-time hours and a comprehensive benefits package.