Case Manager, Registered Nurse – Field

CVS Health

Case Manager, Registered Nurse coordinating health care services and support for members at United Hospital. Requires in-person engagement and assessment of member's health needs.

Posted 5/19/2026full-timeMinneapolis • Minnesota • 🇺🇸 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 as appropriate.
Implement and coordinate case management activities for catastrophic and chronically ill members across the continuum of care, including consultant referrals, home care, community resources, and alternative levels of care.
Interact with members/clients both telephonically and in person while working on‑site at either location, including meeting with members during inpatient admissions.
Assess medical, functional, and vocational status to develop and implement individualized plans of care that support optimal health outcomes, benefits eligibility, and timely return to work or baseline functioning.
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 to support appropriate care planning.
Provide education and preventive guidance to promote best clinical outcomes.
Apply applicable laws, regulations, and payer requirements related to rehabilitation and case management services.
Monitor member progress toward desired outcomes and adjust care plans as needed.
Develop proactive strategies to address complex needs and support both short‑ and long‑term wellness outcomes.

Requirements

What you’ll need

Candidate must have active and unrestricted Registered Nurse License (RN) in Minnesota (MN)
Reliable transportation and the ability to consistently meet onsite, hospital based work requirements at United Hospital (up to 55-75%)
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
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementclinical experienceindividualized plans of caremedical assessmentfunctional assessmentvocational assessmentcare planningmonitoring progressrehabilitation servicesoutreach to physicians

Soft Skills

communicationanalytical skillsproblem-solvingorganizational skillsindependent workcollaborationeducation and guidancestakeholder engagementadaptabilitystrategic planning

Certifications

Registered Nurse License (RN)active and unrestricted license