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CVS Health Case Manager Registered Nurse in Work at Home, Pennsylvania

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.

Case Manager RN (100% Remote – Nationwide)

Full‑Time | Work from Anywhere Nationwide | No Travel Required

We’re seeking a compassionate and results‑driven Case Manager RN to support members through personalized, high‑quality care coordination. In this fully remote role, you’ll use clinical expertise, data‑driven insights, and strong advocacy to help members achieve optimal, cost‑effective health outcomes.

What You’ll Do

  • Conduct comprehensive clinical assessments and identify care coordination needs

  • Develop, implement, and monitor individualized case management plans

  • Support inpatient review and discharge planning as appropriate

  • Advocate for members to maximize benefits and access appropriate services

  • Engage members through coaching, education, and motivational interviewing

  • Identify and escalate quality‑of‑care concerns

  • Deliver exceptional customer experience while collaborating with care teams and Medical Directors

Schedule

  • Monday–Friday, 9:00 AM–5:30 PM (your local time zone)

  • Occasional rotating late shift as needed ( 11:30 AM–8:00 PM EST )

Required Qualifications

  • Active, unrestricted RN license in your state of residence

  • Willingness to obtain additional state licenses (company paid)

  • 3+ years of acute care RN experience (Med‑Surg or Critical Care preferred)

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

Preferred Qualifications

  • Compact or multi‑state RN license

  • Certified Case Manager (CCM)

  • Telephonic case management or telephonic clinical experience

Education

  • Associate Degree in Nursing (required)

  • BSN (preferred)

Why Join Us?

  • 100% remote—live in any state

  • No travel required

  • Meaningful work improving member health and outcomes

  • Supportive, collaborative team environment

Apply today to bring your RN expertise to a flexible, impactful case management role.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $129,615.00

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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