Overview

Case Manager Registered Nurse - Remote (Michigan) at CVS Health. This is a full-time telework position with up to 10% travel. Hours for this position are Monday-Friday 8:00 a.m. to 5:00 p.m. CST.

What You Will Do

• Administers the care coordination plan to assess patient needs and ensure seamless transitions between different care settings.
• Analyzes complex patient data from medical history, diagnostic test results, and treatment plans to understand the current health status of the patient.
• Applies in-depth knowledge of case management and nursing practices to organize patient files for easy retrieval.
• Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans.
• Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care.
• Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific conditions.
• Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators.
• Designs complex processes to coordinate discharge planning in a safe and timely transition from hospital to home.
• Develops resource management to help case managers optimize healthcare with community resources.

Required Qualifications

• Must have active and unrestricted RN licensure in the state of Michigan.
• 3+ years of clinical work experience.
• 1+ year of Case Management experience.
• Must be willing and able to travel up to 10% of the time. Reliable transportation required. Mileage is reimbursed per company policy.

Preferred Qualifications

• Case Management experience.
• Compact RN licensure.
• Certified Case Manager.
• Telephonic nursing experience.
• Home health experience.
• Customer service experience.
• Cold calling experience.
• Experience with Medicare population.
• Additional national professional certification (CRC, CDMS, CRRN, COHN) is preferred, but not required.

Education

• Associate’s Degree required; Bachelor’s degree preferred.

Anticipated Weekly Hours

40

Time Type

Full-time

Pay Range

The Typical Pay Range For This Role Is $60,522.00 - $129,615.00. This pay range represents the base base salary; the actual offer depends on factors including experience, education, geography and other relevant factors. This position is eligible for CVS Health bonus, commissions or short-term incentives in addition to base pay.

Benefits

• Competitive pay and benefits package including medical plan options and a 401(k) plan with company matching.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Additional benefit solutions addressing diverse needs, including paid time off, flexible schedules, family leave, dependent care resources, tuition assistance, retiree medical access and more, depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 10/17/2025

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