CVS Health is hiring a Case Manager Registered Nurse to act as a dedicated advocate for members who are unable to advocate for themselves. You will assess, plan, implement, and coordinate comprehensive case management activities to evaluate members’ medical needs and facilitate services that support their overall health and well-being.
What You'll Do
- Conduct comprehensive assessments of members’ physical, emotional, and social needs.
- Develop and implement individualized care plans based on clinical findings and member goals.
- Coordinate services across healthcare providers, specialists, and community resources.
- Monitor and evaluate care plans regularly, adjusting as needed to improve outcomes.
- Advocate for timely and appropriate healthcare services to support member well-being.
- Document case activities, interventions, and communications accurately and in compliance with regulatory requirements.
- Collaborate with interdisciplinary teams to ensure continuity of care.
- Participate in team meetings, training sessions, and quality improvement initiatives.
- Travel locally for in-person case management activities, as directed by leadership or business needs.
What We're Looking For
- Must be a Registered Nurse with an active state license in good standing, valid in the region where duties are performed.
- Compact RN License or license in multiple states or willing to obtain within 3-6 months.
- Bilingual proficiency in Spanish.
- 3–5 years of clinical practice experience.
- 2–3 years of experience in case management, discharge planning, or home health care coordination.
- Comfortable working remotely and independently using collaboration tools and virtual communication platforms.
- Willingness and ability to travel within a designated geographic area for in-person case management activities as needed.
Nice to Have
- Strong analytical and problem-solving skills.
- Excellent communication, organizational, and interpersonal skills.
- Self-motivated and able to work independently.
- Proficient in navigating multiple systems and applications; skilled in typing and keyboard use.
- Familiarity with corporate software tools such as Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications.
Benefits & Compensation
- Compensation range: $54,095.00 - $155,538.00.
- Affordable medical plan options.
- 401(k) plan including matching company contributions.
- Employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Paid time off.
- Flexible work schedules.
- Family leave.
- Dependent care resources.
- Colleague assistance programs.
- Tuition assistance.
- Retiree medical access.
Work Mode
This position is a hybrid role, combining remote work with local travel for in-person case management activities.
CVS Health is committed to fostering a workplace where every colleague feels valued and that they belong. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
