Remote RN Case Manager – Telephonic Health Navigator

CVS Health Corporation; Richmond (VA); 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 seeking a remote RN Case Manager to support members across multiple states, delivering telephonic case management with fully and self-insured clients, using clinical guidelines and evidence-based care plans.

Strong clinical judgment, utilization review, and communication with supervisors and care team are essential; requires 5+ years nursing and oncology experience, and an active multistate license per NLC.

Qualifications

• 5+ years of nursing experience with at least 1 year in a hospital setting.
• RN must hold an active multistate license via the NLC or individual state licenses for each state supported.
• 1+ years of experience documenting electronically.

Responsibilities

• Telephonic case management with patients and care teams for fully/self-insured clients.
• Apply clinical guidelines and care plans to assess benefits and member needs.

Skills

Nursing

Case management

Oncology experience

Multistate license (NLC)

Electronic documentation

Education

Diploma or Associate Degree in Nursing

Tools

MCG

NCCN

Lexicomp

Job description

CVS Health is seeking a remote RN Case Manager to support members across multiple states, delivering telephonic case management with fully and self-insured clients, using clinical guidelines and evidence-based care plans.

Strong clinical judgment, utilization review, and communication with supervisors and care team are essential; requires 5+ years nursing and oncology experience, and an active multistate license per NLC.