Case Manager, RN

CVS Health

Nurse Case Manager coordinating telephonic case management activities for members to promote health and wellness. Collaborating with Federal Plans to evaluate needs and develop health plans.

Posted 6/10/2026full-timeRemote • Arizona, Colorado, Idaho, Nevada, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

About the role

Key responsibilities & impact

telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans
evaluating the medical needs of the member in order to facilitate and promote the member’s overall wellness
developing a proactive course of action to address issues presented to enhance the member's short and long term outcomes
applying data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs
conducting comprehensive clinical assessments
evaluating needs and developing flexible approaches based on member needs, benefit plans or external programs/services
advocating for patients to the full extent of existing health care coverage
promoting quality, cost effective outcomes, and making suggestions to improve program/operational efficiency
identifying and escalating quality of care issues through established channels
providing an expected very high level of customer service
utilizing assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change
utilizing influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Requirements

What you’ll need

Must have active, current and unrestricted RN licensure in state of residence and have the ability to be licensed in all non-compact states
Must be willing and able to work Monday through Friday, 8 hour shift between 7am to 5pm Arizona time
Must live in either PST, MST, or Arizona Time zones
3+ years of clinical practice experience required
1+ years of experience utilizing MS Office suites
Case management experience preferred
Case Manager Certification
Associate's degree required
BSN preferred

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

clinical assessmentscase managementdata driven methodsindividualized case management programshealth literacy assessmentmotivational interviewingpatient advocacyprogram evaluationoutcomes improvementflexible approach development

Soft Skills

customer servicemember engagementcommunicationproblem solvinginfluencing skillsorganizational skillscollaborationadaptabilitycritical thinkingempathy

Certifications

RN licensureCase Manager Certification