Case Manager, RN

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

📋 Description

• Evaluate, plan, facilitate, coordinate, assess, and advocate for various care options and services.

• Address the comprehensive health needs of individuals and families through effective communication and available resources.

• Encourage quality outcomes that are also cost-effective.

• Conduct in-person case management activities within a specified geographic area as directed or required by business needs.

• Collaborate with members, families, and accessible care resources.

• Manage multiple systems and applications concurrently.

• Communicate via email, calendar invites, Teams messaging, and virtual meetings.

• Access secure systems, including VPN and EHR portals.

• Resolve common technical issues and reach out to IT support when necessary.

⛳️ Requirements

• Active and unrestricted Compact license from Massachusetts.

• Registered Nurse with a valid state license in good standing within the region where duties are performed.

• Preferred minimum of 3–5 years of clinical practical experience in areas such as diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care with Medicare members.

• Minimum of 2–3 years of experience in case management, discharge planning, and/or home health care coordination.

• Ability to occasionally travel within a designated geographic area for in-person case management activities.

• Bilingual candidates are preferred.

• Strong analytical and problem-solving abilities.

• Excellent communication, organizational, and interpersonal skills.

• Capability to work independently.

• Proficiency in MS Word, Excel, Outlook, PowerPoint, and proprietary applications.

• Competent computer skills, including navigating multiple systems and keyboarding.

• Willingness and capability to obtain multistate RN licenses if necessary; company support will be provided.

• Bachelor's degree or equivalent experience; a bachelor's degree must be achieved within 3–5 years as part of role development.

• Certified Case Manager credential is preferred.

• Additional national professional certifications (CRC, CDMS, CRRN, COHN, or CCM) are preferred but not mandatory.

• Direct/hardwired internet connection to a modem/router within 7 feet of the computer is required.

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

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

• Must operate within the state and city of current residence.

• Ability to utilize multiple monitors and applications simultaneously.

• Capability to use Microsoft Office 365 applications or similar tools like Google Workspace.

• Ability to log into secure systems, utilize VPN and EHR portals, manage strong passwords, and identify suspicious emails or links.

• Skill in resolving common technical issues independently.

• Willingness to learn new workplace technology skills.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program, in addition to the base pay range.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

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