RN Full-time
CVS Health

Case Manager - Registered Nurse

CVS Health GA, US
$54,095 - $116,760 / year
Apply Now

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Summary

The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members’ needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies.

Key Responsibilities

  • 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
  • Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs.
  • Provides evidence-based disease management education and support to help the member achieve health goals.
  • Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care.
  • Provides care coordination to support a seamless health care experience for the member.
  • Meticulous documentation of care management activity in the member’s electronic health record.
  • Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
  • Identifies and connects members with health plan benefits and community resources.
  • Meets regulatory requirements within specified timelines.
  • The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed.
  • Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.

Essential Competencies and Functions

  • Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role.
  • Conduct oneself with integrity, professionalism, and self-direction.
  • Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care.
  • Familiarity with community resources and services.
  • Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.
  • Maintain strong collaborative and professional relationships with members and colleagues.
  • Communicate effectively, both verbally and in writing.
  • Excellent customer service and engagement skills.

Work Expectations

  • Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
  • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

Required Qualifications

  • Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
  • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Care Manager – Registered Nurse (CM RN) role
  • Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
  • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted
  • Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
  • 3+ years of nursing experience
  • 2+ years of case management, discharge planning and/or home healthcare coordination experience

Preferred Qualifications

  • Experience providing care management for Medicare and/or Medicaid members
  • Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health
  • Experience conducting health-related assessments and facilitating the care planning process
  • Bilingual skills, especially English-Spanish

Education

  • Associate’s of Science in Nursing (ASN) Degree and relevant experience in a health care-related field (REQUIRED)
  • Bachelor’s of Science in Nursing (BSN) (PREFERRED)

License

  • Active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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. 

 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/05/2026

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

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN ICU Full-time
Grady Health System

Registered Nurse - Neuro ICU - FT Nights

Grady Health System GA
Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Registered Nurse, provides age-appropriate, culturally and ethnically sensitive care, maintains a safe environment, educates patients and their families about healthy practices and treatment modalities, assures continuity of care, coordinates care across settings and among caregivers, manages information, communicates effectively, and utilizes technology. Utilizes the nursing process to provide and plan care (i.e. assessment, nurse diagnosis, planning and coordination, implementation, and evaluation). Additional roles include advocacy, performance improvement, leadership, problem solving, delegation, conflict resolution, and team player. Qualifications A minimum of an Associate Degree in Nursing is required A Bachelors of Science in Nursing is strongly preferred One (1) or more years experience as a Registered Nurse required Specific area of specialty previous experience preferred Current Georgia license as a Registered Professional Nurse required Current American Heart Association (AHA) Basic Life Support (BLS) health care provider card required ACLS Certification required for all the following areas. New Graduates must obtain within 90 days of employment : All Critical Care Emergency Care Center (ECC) GI/Cath Laboratory Labor & Delivery All Intermediate Care Post Acute Care Unit (PACU) Equal Opportunity Employer-Minorities/Females/Veterans/Individuals With Disabilities/Sexual Orientation/Gender Identity. Core Competencies These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment. Patient-Centered Care – Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families. Integrity & Accountability – Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes. Collaboration & Teamwork – Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals. Communication – Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership. Respect & Inclusion – Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all. Quality & Safety – Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes. Adaptability & Resilience – Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure. Continuous Improvement – Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback. Leadership & Professionalism – Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency. Employee Experience Focus – Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care. Grady Total Rewards Benefits At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including: Health & Wellness: Medical, dental, vision, and prescription drug coverage. Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage. Work-Life Balance: Paid time off, holidays, and family leave benefits. Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement. Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services. Grady’s Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond. Why Join Grady? Grady Health System is more than a hospital — we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration. Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued. At Grady, we don’t just work, we make an impact. Equal Opportunity Employer Statement Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic. Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.
RN Hospice Travel Full-time
PruittHealth

Travel Registered Nurse RN Hospice

PruittHealth Norcross, GA
HOSPICE REGISTERED NURSE (RN) CASE MANAGER - HOSPICE SERVICES - TRAVEL POSITION, SERVING NORTH GEORGIA Join the PruittHealth Hospice family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our patients and nurses. If you’re looking to be a part of a uniquely specialized team of caregivers providing hospice care in the patient’s home or care facility, then now is the time to join one of the leading providers of post-acute care. PruittHealth Hospice will help you conquer your career goals. At PruittHealth, we are searching for caregivers who are committed to serving our patients with care and compassion, and in return, we are committed to supporting your nursing career through top-of-market pay, flexible schedules, comprehensive health plans, and more. Investing in Our Employee-Partners with Benefits Top-of-market pay Annual merit increases Paid time off Employee Referral Bonus Program Preceptorship Program and hands-on training Competitive mileage reimbursement rates Comprehensive health plans 401(k) and profit-sharing plans Responsibilities Complete evaluations, assessments, and treatments in accordance with policy and the individualized care plan Complete all documentation and records in a timely and accurate manner Follow established policies and procedures as related to the scope of practice Maintain continuity of patient care in a hospice setting To apply please email Britany.Kerr@pruitthealth.com LICENSURE, CERTIFICATION, AND EDUCATIONAL REQUIREMENTS Current, active, and unrestricted Registered Nurse (RN) licensure in the state of practice Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth Hospice! As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status. For Florida Job Postings Only: For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com
RN Director of Nursing Full-time
PruittHealth

Director of Nursing

PruittHealth Albany, GA
DIRECTOR OF NURSING Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses. Now is a great time to make a change and join one of the leading providers of post-acute care. PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more. Investing in Our Employee-Partners with Benefits • Advance pay option • Annual merit increases • Relocation opportunities • Paid onboarding & orientation • Preceptorship Program & hands-on training • 24 / 7 direct hotline support • Nurse Career Growth Program • Employee Referral Bonus Program • Access to PruittHealth Foundation & PruittHealth University resources • Comprehensive health plans Responsibilities • Direct the overall operation of the Nursing Services Department in the Healthcare Center ● Commitment to caring for patients and partners ● Proactive, collaborative team member ● Respect and professionalism towards your colleagues in the workplace at all times Active, current, unrestricted Registered Nurse (RN) licensure in the state of practice Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth! As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status. For Florida Job Postings Only: For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com
RN Outpatient Full-time
Fresenius Medical Care

Outpatient Registered Nurse - RN

Fresenius Medical Care Jonesboro, GA
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Outpatient Full-time
Fresenius Medical Care

Outpatient Registered Nurse - RN

Fresenius Medical Care Calhoun, GA
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses. Performs ongoing systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. Assesses collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN. Minimum of 9 months experience as a Registered Nurse (preferred). Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors