Case Manager RN at CVS Health in Work from home, PA

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. Remote RN Case Manager 100% Remote | Nationwide Opportunity | Monday–Friday Schedule Are you a Registered Nurse passionate about helping members navigate complex healthcare needs? Join our Case Management team and make a meaningful impact by guiding members toward better health outcomes through personalized care planning, advocacy, and coordination. What You'll Do Conduct telephonic assessments to evaluate members' medical, behavioral, and social needs Develop individualized care plans that support improved health outcomes and overall wellness Identify barriers to care and implement strategies to reduce risk and improve member engagement Coordinate care across providers, programs, and community resources Review clinical information, claims history, and benefit eligibility to support appropriate interventions Utilize motivational interviewing and clinical judgment to engage members and support goal achievement Collaborate with multidisciplinary teams to address complex cases and facilitate optimal outcomes Ensure compliance with regulatory requirements and company case management standards WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence Ability to obtain multi-state/compact licensure (company-paid) 3+ years of clinical nursing experience 1+ year of experience using Microsoft Office (Outlook, Word, Excel) Ability to work Monday–Friday with schedules starting as early as 8:00 AM in your local time zone Ability to participate in rotating late shifts (up to 8:00 PM EST) and holiday on-call coverage as needed Preferred Qualifications Compact RN license Case Management experience Case Manager Certification (CCM or equivalent) BSN preferred Schedule & Work Environment Fully remote; candidates from any U.S. state are welcome to apply No travel required Standard schedule: Monday–Friday, 8:00 AM–4:30 PM in your local time zone Occasional late-shift rotation and holiday on-call support Education Associate Degree in Nursing required BSN preferred Why Join Us? Work from anywhere in the U.S. No travel requirements Make a direct impact on member health and wellness Collaborate with an experienced interdisciplinary team Expand your case management expertise in a supportive environment Company-sponsored multi-state licensure opportunities If you're an experienced RN who enjoys care coordination, member advocacy, and helping individuals achieve better health outcomes, we'd love to hear from you. Apply today! Work from Home Requirements: • You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted. • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours. • Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live. • The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time). • If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements. Technical and Logistical Requirements: • Device & System Navigation: Comfortable setting up and using multiple monitor