Remote RN Case Manager Telephonic Care Navigator

CVS Health; Raleigh (NC); Remote; USD 54,000 - 156,000; Full time

Job summary

CVS Health is seeking a remote RN Case Manager to support members across multiple states. The role involves telephonic case management, applying clinical guidelines, and coordinating care to improve outcomes. A strong background in oncology and utilization review is valued.

The position is full-time with 40 hours per week, remote nationwide in the United States, with comprehensive benefits and ongoing training.

Qualifications

• 5+ years' experience as a Registered Nurse, including at least 1 year in a hospital setting.
• Active multi-state RN license via Nurse Licensure Compact (NLC) or state-specific license.
• 1+ years' experience documenting electronically using a keyboard.
• 1+ years' experience in Oncology.

Responsibilities

• Work as a telephonic case manager with patients and their care team for fully and/or self-insured clients.
• Apply criteria, guidelines, and policies to assess benefits and member needs for appropriate administration of benefits.
• Use clinical judgment to reduce risk factors and address barriers in care planning.

Skills

Nurse Case Mgmt

Clinical Assessment

Electronic Documentation

NLC Licensure

Oncology Experience

Education

Diploma or Associate Degree in Nursing

Tools

Electronic Charting

Job description

CVS Health is seeking a remote RN Case Manager to support members across multiple states. The role involves telephonic case management, applying clinical guidelines, and coordinating care to improve outcomes. A strong background in oncology and utilization review is valued.

The position is full-time with 40 hours per week, remote nationwide in the United States, with comprehensive benefits and ongoing training.