Remote RN Case Manager - Wellness & Care Coordination

CVS Health; United States; Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement savings

Job summary

CVS Health is seeking an RN Case Manager for a 100% remote work-from-home role. Candidates must hold an active Illinois RN license, but residency in Illinois is not required. Normal hours are Monday through Friday, with flexible shifts and no weekends.

The position emphasizes proactive care planning, assessment of needs, and coordination with Aetna programs. A BSN is preferred, and strong telephonic communication is valued to support member outcomes.

Qualifications

• Active Illinois RN licensure required.
• 2+ years of clinical RN experience.

Responsibilities

• Develops proactive plan to address member needs and improve outcomes.
• Evaluates member needs and benefits eligibility and facilitates transitions to appropriate programs.
• Applies clinical judgment to reduce risk factors and barriers in care planning.
• Reviews prior claims to assess impact on case management and eligibility.
• Assesses work capacity and related restrictions.
• Coordinates with supervisors to overcome barriers and present cases for multidisciplinary focus.

Skills

Telephonic communication

Clinical RN experience

Case management awareness

Education

Associate’s degree in nursing

BSN preferred

Job description

CVS Health is seeking an RN Case Manager for a 100% remote work-from-home role. Candidates must hold an active Illinois RN license, but residency in Illinois is not required. Normal hours are Monday through Friday, with flexible shifts and no weekends.

The position emphasizes proactive care planning, assessment of needs, and coordination with Aetna programs. A BSN is preferred, and strong telephonic communication is valued to support member outcomes.