RN Care Manager

4004 Aetna Medicaid Administrators; Louisiana; Hybrid; USD 54,000 - 117,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a full-time Case Management position in the United States. The role coordinates case management activities, assesses medical needs, and develops wellness strategies aligned with network policies.

The ideal candidate holds an active clinical license (RN, LCSW, LPC, LMFT) and has case management experience, excellent telephonic communication, and strong problem-solving abilities. The position requires organizational excellence and may involve working two evenings weekly until

Qualifications

• Active clinical licensure (RN, LCSW, LPC, LMFT) required.
• Case management experience required.
• Strong customer service orientation and problem solving.
• Excellent communication and telephonic skills.
• Motivational interviewing skills with ability to build rapport telephonically.
• Excellent documentation and regulatory compliance.
• Highly organized and self-driven with limited supervision.
• Effective time management and meeting performance metrics.
• Technology proficiency.
• Ability to work 2 evenings weekly until 9pm local time.

Responsibilities

• Coordinate all case management activities with members to evaluate medical needs and facilitate overall wellness.
• Develop strategy to address issues to outcomes and opportunities to enhance member's wellness through integration.
• Instruct programs and procedures in compliance with network management and clinical coverage policies.

Skills

Customer service

Communication skills

Motivational interviewing

Organization

Time management

Problem solving

Technology proficiency

Performance metrics

Education

Bachelor's degree

Master's degree

CCM Certification

Job description

Company Overview

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.

Required Qualifications

• Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
• Case Management experience
• Strong customer service orientation and problem solving
• Excellent Communication/Telephonic skills
• Excellent motivational interviewing skills/ability to built rapport and trust telephonically
• Excellence in documentation and respecting compliance/regulatory standards
• Highly organized, remain self-driven without direct supervision
• Manage time effectively
• Achieve performance metrics
• Technology proficiency
• Variable work scheduled with ability to work 2 days weekly until 9pm local time

Preferred Qualifications

• Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization
• Education Bachelors required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $54,095.00 - $116,760.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Benefits

Great benefits for great people. We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Deadline

We anticipate the application window for this opening will close on: 11/30/2026

Eligibility

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.