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CVS Health Case Manager Registered Nurse in Work at Home, New York

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Remote Case Manager RN (Nationwide)

100% Remote | Full‑Time | No Travel Required

We’re seeking an experienced Registered Nurse Case Manager to join our remote team and help drive high‑quality, cost‑effective care for our members. In this role, you’ll use clinical expertise, critical thinking, and compassionate advocacy to coordinate care, support health behavior change, and improve outcomes—all from home.

What You’ll Do

  • Conduct comprehensive clinical assessments and identify care coordination needs

  • Develop, implement, and evaluate individualized case management plans

  • Coordinate inpatient review and discharge planning as needed

  • Advocate for members to maximize benefits and access appropriate services

  • Use data‑driven insights to identify members for case management or alternative programs

  • Engage members through coaching, education, and motivational interviewing

  • Collaborate with Medical Directors and internal care teams

  • Identify and escalate quality‑of‑care concerns

  • Deliver an exceptional customer experience in every interaction

Schedule

  • Monday–Friday, 8:00 AM – 4:30 PM in your local time zone with flexibility to accommodate member calls.

What We’re Looking For

Required

  • Active, unrestricted RN license in your state of residence

  • Willingness to obtain additional state licenses (company‑paid)

  • 3+ years of acute hospital RN experience (medical, surgical, ER, ICU, etc.)

  • Strong clinical judgment, decision‑making, and organizational skills

  • Proficiency with Microsoft Word, Excel, and PowerPoint

  • Ability to manage multiple priorities in a fast‑paced, remote environment

Preferred

  • Compact RN License

  • Certified Case Manager (CCM)

  • Managed care, home care, or telephonic case management experience

Education

  • Associate Degree in Nursing (required)

  • BSN (preferred)

Why Join Us?

  • 100% remote role—work from anywhere in the U.S.

  • No travel required

  • Supportive, collaborative environment

  • Opportunity to make a meaningful impact on member health and outcomes

Apply today and bring your RN expertise to a role where your voice, judgment, and advocacy truly matter.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 05/02/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.

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