RN Case Manager

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health seeks a dedicated case management professional in Louisiana to coordinate activities, assess medical needs, and promote member wellness. The role ensures adherence to network policies and quality standards while delivering compassionate support to members and families.

Reporting to the care management team, you will work with licensed clinicians and care specialists, documenting interventions, and striving for optimal health outcomes.

Qualifications

• Current active clinical licensure (RN, LCSW, LPC, LMFT).
• Case management experience required, with strong problem-solving and service orientation.
• Excellent documentation and compliance with regulatory standards.

Responsibilities

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

Skills

Clinical licensure

Case management

Customer service

Communication skills

Motivational interviewing

Documentation/compliance

Time management

Technology proficiency

Flexible scheduling

Education

Bachelor's or Master's Degree

CCM Certification

Job description

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

• Bachelors and/or Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization
• Education Bachelors Degree 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.

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.

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

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.

Our people fuel our future.