Case Manager Registered Nurse - Medicare (Remote)

Position Information Work Schedule: Monday-Friday 8:00am-5:00pm EST Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in‑class operating and clinical models. You can have a life‑changing impact on our Community Care members.

Community Care is a member‑centric, team‑delivered, community‑based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.

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

Position Summary Community Care Case Manager uses a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost‑effective outcomes. Required Qualifications Active and restricted RN Compact licensure . Minimum 3+ years clinical practical experience with Medicare members (Diabetes, CHF, CKD, post‑acute care, hospice, palliative care, cardiac) preferred.

Minimum 2+ years Case Management, discharge planning and/or home health care coordination experience. Preferred Qualifications Excellent analytical and problem‑solving skills. 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 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. Certified Case Manager is preferred. Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred but not required.

Education Associate’s degree or Nursing diploma 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 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.

Benefits 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, including 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.

EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr