Case Manager RN - Work From Home - PST

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary:

This RN Case Manager position is 100% remote and candidates can apply from any state.

Normal Working Hours: Monday through Friday 8am-5pm in time zone of residence with requirement to flex time to meet member/business needs.

Preference is for an RN with Compact RN licensure who lives in either MST or PST time zone.

The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.

RN Case Manager:

– Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

– Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.

– Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.

– Utilizes case management processes in compliance with regulatory and company policies and procedures.

– Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Please note:

-This role involves using a computer station with multiple screens, operating multiple programs simultaneously, and sitting for extended periods of time.

- A private designated workspace free of distractions and high-speed internet is needed for this position.

Required Qualifications:

-Must have an active and unrestricted RN license in state of residence, preferably compact

-Willingness and ability to obtain additional state licenses upon hire (paid for by the company)

-3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)

Preferred Qualifications:

-Compact RN licensure

-RN living in MST, or PST Time Zone

-1+ years of case management experience

-Certified Case Manager (CCM) certification

-Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.

-Experience with all types of Microsoft Office including PowerPoint, Excel, and Word

-Strong telephonic communication skills

-1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.

-Transgender certification

Education:

-Associates in nursing

-BSN

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,575.00 - $142,576.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/07/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.