# Nurse Case Manager

**Company**: CVS Health
**Location**: Work At Home-Idaho
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $54,095.00 - $116,760.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Idaho/Case-Manager-Registered-Nurse--Remote-_R1092995?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/nurse-case-manager-49629d3a-63c/

## Description

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Nurse Case Manager is responsible for delivering comprehensive case management services through telephonic and/or face-to-face interactions.

**What you will do**

- Utilize clinical judgment and data-driven tools to evaluate member eligibility, identify health risks, and develop proactive care plans that address both short- and long-term health outcomes.

- Conduct holistic assessments that consider co-morbid conditions, functional limitations, and social determinants of health.

- Review prior claims, evaluate work capacity, and determine the need for referrals to clinical resources.

- Collaborate with supervisors and multidisciplinary teams to overcome barriers and optimize care planning.

**Required Qualifications**

- An active and unrestricted RN license in the state of residence.

- Willing and able to obtain additional state licenses upon hire (paid for by the company).

- 3+ years of experience in acute care and/or case management.

- 2+ years of Med/Surg experience.

- Must be willing to work Monday-Friday 8:00am-4:30pm local time zone.

**Preferred Qualifications**

- Prefer candidates in PST Zone.

- Behavioral Health experience.

- Certified Case Manager.

- Managed care experience.

- Strong telephonic communication skills.

- Ability to manage multiple priorities, effective organisational, and time management skills.

- Ability to use a computer station and sit for extended periods of time.

**Work from Home Requirements**

- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 Mbps download and 3 Mbps upload.

- A quiet, secure, and private designated home virtual work location, free from distractions, tidy and organised, compliant with CVS Health and HIPAA guidelines.

- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.

- The company will provide equipment (keyboard, monitor, computer, headset, etc.).

**Technical and Logistical Requirements**

- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.

- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.

- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar.

- Systems Access & Security: Ability to Log in to secure systems, lock a computer screen when unattended, manage strong passwords.

- Troubleshooting & Support: Ability to resolve common technical issues independently.

**Anticipated Weekly Hours**: 40 **Time Type**: Full time **Pay Range**: $54,095.00 - $116,760.00

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.

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## Skills

### Required
- RN license
- case management
- acute care
- Med/Surg experience

### Nice to have
- Behavioural Health experience
- Certified Case Manager
- Managed care experience
- telephonic communication skills

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Idaho/Case-Manager-Registered-Nurse--Remote-_R1092995?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)