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. Position Summary This Case Manager RN position is 100% remote, and the employee can live in any state. No travel is expected with this position. The expected start date is December 14th, 2026 for this cohort of hires. Candidates must be able to start on this date. Normal Working Hours: Monday- Friday between 8:00am – 4:30pm in time zone of residence with rotational coverage of evenings, weekends, and holidays per the needs of the department. The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. The Case Manager RN process includes assessing the member's health status and care coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment and someone that has strong decision-making skills and well-developed interpersonal skills. The Case Manager RN is expected to manage multiple priorities, demonstrate both effective
Case Manager Registered Nurse
Salary not disclosed
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Role overview
Job description
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 RN Case Manager (Case Management & Utilization Management)
Aetna National Medical Excellence (NME) is seeking an experienced Registered Nurse (RN) Case Manager to join our growing team. This is a fully remote opportunity open to candidates nationwide, with preference given to nurses residing in compact licensure states.
In this blended role, you will combine Case Management and Utilization Management expertise to support members with complex healthcare needs. You'll partner with members, providers, and interdisciplinary teams to develop personalized care plans, improve health outcomes, reduce barriers to care, and promote overall wellness.
What You'll Do
- Assess, coordinate, and manage care for members with complex medical needs
- Develop proactive care plans to improve short- and long-term health outcomes
- Identify clinical, social, and functional barriers impacting care
- Collaborate with healthcare providers and multidisciplinary teams
- Utilize clinical judgment to support effective utilization and care management decisions
- Engage members through telephonic care management and health coaching
Required Qualifications
- Active, unrestricted Compact RN license in state of residence
- 5+ years of RN clinical practice experience
- 2+ years of critical care experience
- 6+ months of Case Management or Utilization Management experience
- Ability to work Monday-Friday, 8:00 AM-5:00 PM in your local time zone. Weekends and Holidays are based on business needs.
- Willingness to obtain additional state RN licenses (company-paid)
Preferred Qualifications
- Case Management Certification (CCM or equivalent)
- Transplant nursing experience
- BSN preferred
Education
- Associate Degree in Nursing required
- BSN preferred
Why Join Us?
- 100% remote work environment
- No nights, weekends, or holidays currently required
- Company-sponsored multi-state licensure
- Opportunity to impact members' lives through innovative, integrated care management
If you're a clinically strong RN with critical care experience and a passion for improving patient outcomes, we'd love to hear from you. Apply today!
Work from Home Requirements:
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Technical and Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Role market pulse
How Case Manager Registered Nurse demand looks in United States
Live jobs
12
Posted 30d
12
30d movement
Early signal
Remote share
75%
Salary listed
0%
Salary trend 1Y
Not enough history
What they are looking for
Skills & requirements
Qualification
Active, unrestricted Compact RN license in state of residence; 5+ years of RN clinical practice experience; Willingness to obtain additional state RN licenses (company-paid)
Hiring company
Cvshealth
America's leading health solutions company, CVS Health® provides advanced health care from pharmacy services and health plans to health and wellness.
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