CVS Pharmacy, Inc.Hiring

Case Manager, Registered Nurse

  • Remote, United States
  • Full-time
  • Lead
  • Posted 9 days ago
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In one line

Remote nurse case manager handling both care coordination and utilization review for members with complex needs, working 8 to 5 in your own time zone.

About the role

Members with several conditions and social barriers need someone to sort out what care they get and how it fits together. The job is to assess their needs, spot the risks, and move them smoothly into the right programs.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Lead
Employment
Full-time
Skills
Case Management, Utilization Management, Critical Care
Posted
20 Oct 2026
Last checked
22 Oct 2026

What you will do

  • Assess members by phone or in person, plan their care, and coordinate the pieces
  • Review clinical data and benefit eligibility, then guide members into the right programs
  • Use clinical judgment to cut down barriers and handle complex health and social issues

What they look for

  • Active, unrestricted compact RN license in your state of residence
  • Five years of clinical practice as an RN, including two or more in critical care
  • At least six months in case management or utilization management
  • Available Monday to Friday, 8 AM to 5 PM in your time zone
  • Willing to obtain RN licenses in multiple states

Nice to have

  • Case management certification or transplant experience

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How to connect

Questions about this job

Is this a remote job, and where can I work from?

Yes. The posting lists Case Manager, Registered Nurse as a remote role for candidates in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: active, unrestricted compact RN license in your state of residence; five years of clinical practice as an RN, including two or more in critical care; at least six months in case management or utilization management. Skills it names include Case Management, Utilization Management, Critical Care.

How do I apply with Keywordise AI?

Click Apply with Keywordise AI, create an account and upload your CV. Your CV and cover letter are written for this job from what you have really done, then Keywordise applies for you. Trial: 7 days, no card.

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CVS Pharmacy, Inc.Remote, United States
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