Case Manager, Registered Nurse – Field

CVS Health

Case Manager, Registered Nurse providing care coordination and assessment at CVS Health. Collaborating with multidisciplinary teams to enhance health outcomes for members at Hospital of the University of Pennsylvania.

Posted 5/5/2026full-timePhiladelphia • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

About the role

Key responsibilities & impact

Serve as a liaison between members/clients, families, employers, providers, insurance carriers, and healthcare personnel
Implement and coordinate case management activities for catastrophic and chronically ill members
Interact with members/clients both telephonically and in person while working on‑site
Assess medical, functional, and vocational status to develop and implement care plans
Communicate effectively with stakeholders including medical providers, attorneys, employers, and insurance carriers
Prepare timely and accurate documentation of all case management activities
Collaborate with internal multidisciplinary teams to support optimal member outcomes
Conduct outreach to treating physicians and specialists
Provide education and preventive guidance for best clinical outcomes
Monitor member progress and adjust care plans as needed
Develop proactive strategies to address complex needs and support wellness outcomes

Requirements

What you’ll need

Reliable transportation and ability to meet onsite requirements up to 55-75%
Active and unrestricted Registered Nurse License (RN) in Pennsylvania (PA)
3+ years of clinical experience, preferably with Medicare and Commercial populations
Ability to work independently within a hospital‑based environment
Strong analytical, problem‑solving, organizational, and communication skills
Proficiency in Microsoft Word, Excel, Outlook, PowerPoint, and proprietary clinical systems
Efficient computer skills, including navigating multiple systems and keyboarding

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementcare plansclinical experienceanalytical skillsproblem-solving skillsorganizational skillscommunication skills

Soft Skills

collaborationindependenceoutreacheducationmonitoring

Certifications

Registered Nurse License (RN) in Pennsylvania