Case Manager – Registered Nurse

This is a fully remote position, open to applicants in Texas.

📋 Description

• Evaluate, coordinate, and oversee care for members with intricate medical requirements.

• Formulate proactive care strategies aimed at enhancing both short- and long-term health results.

• Recognize clinical, social, and functional obstacles that affect care.

• Collaborate with healthcare professionals and multidisciplinary teams.

• Utilize clinical judgment for utilization and care management choices.

• Connect with members through telephonic care management and health coaching.

• Assist members with intricate healthcare needs via Case Management and Utilization Management.

• Work alongside members, providers, and interdisciplinary teams to foster wellness and improve outcomes.

⛳️ Requirements

• Active, unrestricted Compact RN license in your state of residence.

• Over 5 years of RN clinical practice experience.

• At least 2 years of experience in critical care.

• Minimum of 6 months of experience in Case Management or Utilization Management.

• Availability to work Monday through Friday, 8:00 AM to 5:00 PM in your local time zone.

• Willingness to acquire additional state RN licenses.

• An Associate Degree in Nursing is required.

• Case Management Certification (CCM or its equivalent) is preferred.

• Experience in transplant nursing is preferred.

• A Bachelor of Science in Nursing (BSN) is preferred.

• A direct/hardwired internet connection to a modem/router within 7 feet of the computer is necessary.

• Minimum internet speed of 25 Mbps download and 3 Mbps upload is required.

• A quiet, secure, private designated home workspace that complies with CVS Health and HIPAA guidelines is essential.

• Ability to work within the state and city of residence.

• Proficiency with multiple monitors and applications.

• Capability to use email, calendar invites, Teams messaging, and virtual meetings effectively.

• Familiarity with Microsoft Office 365 or similar Google Workspace applications is required.

• Ability to log into secure systems such as VPN and EHR portals.

• Competence in maintaining computer security, creating strong passwords, and identifying suspicious emails or links.

• Ability to independently troubleshoot common technical issues.

• Willingness to learn new skills as the workplace evolves.

🏝️ Benefits

• 100% remote work environment.

• No nights, weekends, or holidays currently required.

• Company-sponsored multi-state licensure.

• Company-paid additional state RN licenses.

• Company-provided equipment (keyboard, monitor, computer, headset, etc.).

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.