Case Manager - Registered Nurse (Fully Remote)

Overview

As a Case Manager at CVS Health, you will work remotely to provide comprehensive care management for patients, utilizing your nursing expertise to support their health needs.

In Short

• Remote position with virtual training.
• Work as a telephonic case manager for patients.
• Utilize clinical judgment and care management processes.
• Engage with patients and their care teams.
• Handle complex health and social indicators.
• Consult with multidisciplinary teams.
• Perform medical necessity reviews.
• Flexible work hours within the time zone of residence.
• Support cost-effective quality care.
• Contribute to the overall claim management process.

Requirements

• 5+ years of experience as a Registered Nurse.
• Active, unrestricted RN license in the state of residence.
• Experience in Oncology, Transplant, or Specialty Pharmacy.
• 1+ years of experience in Case Management preferred.
• Bilingual in Spanish preferred.
• Experience with electronic documentation.
• CCM or other URAC recognized accreditation preferred.
• Education: Diploma or Associate's Degree in Nursing required.
• BSN preferred.
• Willingness to receive multi-state/compact privileges.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Paid time off and flexible work schedules.
• Tuition assistance and financial coaching.
• Employee stock purchase plan.
• Dependent care resources.
• Colleague assistance programs.
• Retiree medical access.
• Eligibility for bonuses and incentives.