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CVS Health

Case Manager, Registered Nurse - Remote

Posted an hour ago
$54095 - $116K per year
2-5 years experience
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AI Summary

Facilitate the delivery of healthcare benefits and information to determine eligibility while promoting member wellness. Develop and implement health strategies and policies to ensure effective clinical coverage and support successful return-to-work outcomes.

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.

Schedule:

Monday - Friday

8:00 AM to 5:00 PM


Position Summary
Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. 

Required Qualifications

• Active Iowa RN or Compact License

• Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.

• Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise   


Preferred Qualifications

•  Excellent analytical and problem-solving skills 

• Minimum 2-3 years CM, discharge planning and/or home health care coordination experience 

•  Effective communications, organizational, and interpersonal skills. 

•  Ability to work independently (may require working from home). 

•  Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. 

•  Efficient and Effective computer skills including navigating multiple systems and keyboarding 

•  Willing and able to obtain multi state RN licenses if needed, company will provide.

• Bilingual preferred 

• Certified Case Manager is preferred.


Education

Associates Degree in Nursing.  

• Bachelor’s degree preferred


Licensure

• Registered Nurse licensure in the state of Iowa required

• Compact Licensure preferred

• Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required 



Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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.

We anticipate the application window for this opening will close on: 10/31/2026

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

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