Remote RN - Transition of Care & Care Coordination

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

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Paid time off

Job summary

CVS Health is seeking a Transition of Care Case Manager (RN) to support high‑risk, medically complex members from home. The role focuses on coordinating post‑discharge care, developing individualized plans, and working with interdisciplinary teams to ensure safe transitions and reduce readmissions.

Strong communication and home‑based work setup are essential. The TOC CM will collaborate with providers, care managers, and social services to address health equity and optimize outcomes for dual

Qualifications

• Active and unrestricted RN license in Illinois.
• 3+ years of clinical practice experience.
• 1+ year in care coordination or high‑risk populations.
• Proficient in Microsoft Office 365 (Word, Excel, Outlook, Teams).
• Ability to work from home with a private, dedicated space.

Responsibilities

• Complete outreach cadence calls and post‑discharge questionnaires within required timelines.
• Schedule follow‑up appointments and ensure medication reconciliation.
• Identify and address barriers to care such as transportation or housing.
• Lead Interdisciplinary Care Team meetings to discuss ICPs.
• Ensure compliance with state and federal regulations, including NCQA standards.

Skills

RN license

Clinical experience

Care coordination

Microsoft Office 365

Communication skills

Independent work

Bilingual

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing

Tools

Microsoft Office 365

Job description

CVS Health is seeking a Transition of Care Case Manager (RN) to support high‑risk, medically complex members from home. The role focuses on coordinating post‑discharge care, developing individualized plans, and working with interdisciplinary teams to ensure safe transitions and reduce readmissions.

Strong communication and home‑based work setup are essential. The TOC CM will collaborate with providers, care managers, and social services to address health equity and optimize outcomes for dual