All jobs

CVS Health AZ

$60,522 - $129,615 / year

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. Position Summary: The Case Manager RN role is 100% remote work from home and candidates must have an active RN licensure (any state). Normal Working Hours: Monday through Friday 9:00am – 5:30pm in time zone of residence. Occasional evening, weekend, and holiday shifts per the needs of the team. No travel is expected with this position. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. RN Case Manager: – Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. – Through the use of clinical tools and information/data review, conducts an evaluation of member’s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. – Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. – Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. – Reviews prior claims to address potential impact on current case management and eligibility. – Assessments include the member’s level of work capacity and related restrictions/limitations. – Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. – Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. – Utilizes case management processes in compliance with regulatory and company policies and procedures. – Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Required Qualifications -Must have an active RN licensure in the state where you reside. -Multiple State RN licensure is welcomed but not required. If chosen must be willing and able to obtain multiple state RN licensure after hire (expenses paid for by company) -2+ years of clinical experience as an RN -All clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care, and Infusion nursing. Preferred Qualifications -Certified Case Manager (CCM) certification -Prefer candidates who reside in compact states. -3+ years’ experience with Microsoft Office Suite -Case Management in an integrated model -Discharge Planning experience -Managed care experience -BSN preferred Education -Associates Degree in Nursing 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. 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 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. The benefits for this position include 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 . We anticipate the application window for this opening will close on: 04/21/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Nurse Practitioner - NP/PA Primary Care

CVS Health Edina, MN

$46.03 - $99.14 / hour

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. Position Summary- Position Summary As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities. Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to leading assessment and treatment planning tools Opportunity to deliver both in‑person and virtual care, driven by in‑clinic patient volume Ability to practice at the top of your license with comprehensive clinical team support Significant career growth and professional development opportunities Charting and follow‑up completed during your scheduled shift—no work taken home In This Role, You Will Deliver evidence‑based primary and family care, including assessment, diagnosis, treatment, and management of acute and chronic conditions Provide both in-person and virtual visits (from the clinic) to support positive patient health outcomes Perform diagnostic testing, preventive counseling, treatment of injuries and illnesses, and coordination of care with other healthcare professionals Engage patients in wellness services, chronic disease management, and preventive health screenings Complete essential clinic operations including inventory management, clinic opening/closing, patient follow‑up, insurance verification, and payment collection Support a safe and efficient care environment through routine examinations and timely patient appointment management Required Qualifications For Nurse Practitioners (NPs) One year of NP experience preferred; qualified new graduates may be considered Active, unrestricted Family Nurse Practitioner (FNP) license in good standing Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices Ability to order/administer vaccines and injections (COVID‑19, influenza, TB testing, Depo‑Provera, etc.) DOT certification exam completed within 30 days of employment Bilingual proficiency may be required depending on market needs Active Basic Life Support (BLS) certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support For Physician Associates (PAs) Prior PA experience preferred; qualified new graduates considered Master of Science in Physician Assistant/Associate Studies, or health‑related master’s degree plus Bachelor of Science in PA Studies Current NCCPA certification Active, unrestricted state PA/Physician Associate license (or eligibility to obtain upon hire) Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices DOT certification exam completed within 30 days of employment Active BLS certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support Education Requirements Nurse Practitioners Master’s degree from an accredited Family Nurse Practitioner program Current national board certification (AANP or ANCC) Active, unrestricted state APRN license Physician Associates Master of Science in Physician Assistant/Associate Studies OR health‑related master’s degree plus Bachelor of Science in PA Studies Current NCCPA certification Active, unrestricted state PA license Preferred Qualifications Experience with the EPIC electronic health record Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but not required) Experience conducting patient assessments and exercising sound clinical decision‑making in a virtual care environment Familiarity with digital health tools and virtual communication technologies Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46.03 - $99.14 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 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. The benefits for this position include 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 . We anticipate the application window for this opening will close on: 06/29/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

NP

Full-time

1 month ago

Nurse Practitioner - NP

CVS Health Belle Vernon, PA

$41.88 - $90.13 / hour

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. A Brief Overview As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities. Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to leading assessment and treatment planning tools Opportunity to deliver both in‑person and virtual care, driven by in‑clinic patient volume Ability to practice at the top of your license with comprehensive clinical team support Significant career growth and professional development opportunities Charting and follow‑up completed during your scheduled shift—no work taken home What you will do Deliver evidence‑based primary and family care, including assessment, diagnosis, treatment, and management of acute and chronic conditions Provide both in-person and virtual visits (from the clinic) to support positive patient health outcomes Perform diagnostic testing, preventive counseling, treatment of injuries and illnesses, and coordination of care with other healthcare professionals Engage patients in wellness services, chronic disease management, and preventive health screenings Complete essential clinic operations including inventory management, clinic opening/closing, patient follow‑up, insurance verification, and payment collection Support a safe and efficient care environment through routine examinations and timely patient appointment management Education Nurse Practitioners: Master’s degree from an accredited Family Nurse Practitioner program Current national board certification (AANP or ANCC) Active, unrestricted state APRN license Essential Qualifications Nurse Practitioners (NPs): One year of NP experience preferred; qualified new graduates may be considered Active, unrestricted Family Nurse Practitioner (FNP) license in good standing Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices Ability to order/administer vaccines and injections (COVID‑19, influenza, TB testing, Depo‑Provera, etc.) DOT certification exam completed within 30 days of employment Bilingual proficiency may be required depending on market needs Active Basic Life Support (BLS) certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support Preferred Qualifications Experience with the EPIC electronic health record Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but not required) Experience conducting patient assessments and exercising sound clinical decision‑making in a virtual care environment Familiarity with digital health tools and virtual communication technologies Pay Range The typical pay range for this role is: $41.85 - $90.13 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 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. The benefits for this position include 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 . We anticipate the application window for this opening will close on: 05/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

NP

Full-time

1 month ago

CVS Health Lakeville, MN

$46.03 - $99.14 / hour

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. Position Summary- Position Summary As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities. Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to leading assessment and treatment planning tools Opportunity to deliver both in‑person and virtual care, driven by in‑clinic patient volume Ability to practice at the top of your license with comprehensive clinical team support Significant career growth and professional development opportunities Charting and follow‑up completed during your scheduled shift—no work taken home In This Role, You Will Deliver evidence‑based primary and family care, including assessment, diagnosis, treatment, and management of acute and chronic conditions Provide both in-person and virtual visits (from the clinic) to support positive patient health outcomes Perform diagnostic testing, preventive counseling, treatment of injuries and illnesses, and coordination of care with other healthcare professionals Engage patients in wellness services, chronic disease management, and preventive health screenings Complete essential clinic operations including inventory management, clinic opening/closing, patient follow‑up, insurance verification, and payment collection Support a safe and efficient care environment through routine examinations and timely patient appointment management Required Qualifications For Nurse Practitioners (NPs) One year of NP experience preferred; qualified new graduates may be considered Active, unrestricted Family Nurse Practitioner (FNP) license in good standing Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices Ability to order/administer vaccines and injections (COVID‑19, influenza, TB testing, Depo‑Provera, etc.) DOT certification exam completed within 30 days of employment Bilingual proficiency may be required depending on market needs Active Basic Life Support (BLS) certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support For Physician Associates (PAs) Prior PA experience preferred; qualified new graduates considered Master of Science in Physician Assistant/Associate Studies, or health‑related master’s degree plus Bachelor of Science in PA Studies Current NCCPA certification Active, unrestricted state PA/Physician Associate license (or eligibility to obtain upon hire) Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices DOT certification exam completed within 30 days of employment Active BLS certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support Education Requirements Nurse Practitioners Master’s degree from an accredited Family Nurse Practitioner program Current national board certification (AANP or ANCC) Active, unrestricted state APRN license Physician Associates Master of Science in Physician Assistant/Associate Studies OR health‑related master’s degree plus Bachelor of Science in PA Studies Current NCCPA certification Active, unrestricted state PA license Preferred Qualifications Experience with the EPIC electronic health record Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but not required) Experience conducting patient assessments and exercising sound clinical decision‑making in a virtual care environment Familiarity with digital health tools and virtual communication technologies Anticipated Weekly Hours 32.5 Time Type Full time Pay Range The typical pay range for this role is: $46.03 - $99.14 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 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. The benefits for this position include 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 . We anticipate the application window for this opening will close on: 06/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

NP

Part-time

1 month ago

Family Nurse Practitioner

CVS Health Queens, NY

$50.22 - $108.15 / hour

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. *** Astoria, NY Clinic (Part-time) *** Candidates must be available to work 2-3 eight-hour weekday shifts, plus every other Saturday. A Brief Overview As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities. Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy: Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to leading assessment and treatment planning tools Opportunity to deliver both in‑person and virtual care, driven by in‑clinic patient volume Ability to practice at the top of your license with comprehensive clinical team support Significant career growth and professional development opportunities Charting and follow‑up completed during your scheduled shift—no work taken home What you will do: Deliver evidence‑based primary and family care, including assessment, diagnosis, treatment, and management of acute and chronic conditions Provide both in-person and virtual visits (from the clinic) to support positive patient health outcomes Perform diagnostic testing, preventive counseling, treatment of injuries and illnesses, and coordination of care with other healthcare professionals Engage patients in wellness services, chronic disease management, and preventive health screenings Complete essential clinic operations including inventory management, clinic opening/closing, patient follow‑up, insurance verification, and payment collection Support a safe and efficient care environment through routine examinations and timely patient appointment management Education: Master’s degree from an accredited Family Nurse Practitioner program Current national board certification (AANP or ANCC) Active, unrestricted state APRN license Essential Qualifications: One year of NP experience preferred; qualified new graduates may be considered Active, unrestricted Family Nurse Practitioner (FNP) license in good standing Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices Ability to order/administer vaccines and injections (COVID‑19, influenza, TB testing, Depo‑Provera, etc.) DOT certification exam completed within 30 days of employment Bilingual proficiency may be required depending on market needs Active Basic Life Support (BLS) certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements: Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support Preferred Qualifications: Experience with the EPIC electronic health record Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but not required) Experience conducting patient assessments and exercising sound clinical decision‑making in a virtual care environment Familiarity with digital health tools and virtual communication technologies Pay Range The typical pay range for this role is: $50.22 - $108.15 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This part‑time position is eligible for a range of benefits and programs that support the physical, emotional, and financial well‑being of colleagues. Depending on hours worked and eligibility, the benefits for this position include dental, vision, wellness resources, employee discounts, access to certain voluntary benefits, and other programs. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

NP

Full-time

1 month ago

Family Nurse Practitioner

CVS Health Eastchester, NY

CVS Health CT

$66,575 - $142,576 / year

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. Schedule Monday - Friday 8:00 AM - 5:00 PM ET 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 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. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Position Summary/Mission Community Care Case Manager use 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. Fundamental Components & Physical Requirements • Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services. • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. • Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. • Prepares all required documentation of case work activities as appropriate. • Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. • May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. • Provides educational and prevention information for best medical outcomes. • Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. • Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration. • Monitors member/client progress toward desired outcomes through assessment and evaluation. Required Qualifications • Active and unrestricted Registered Nurse License in East Coast States • Minimum 3+ years clinical practical experience with Medicare members (specifically diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac members) • Minimum 2+ years CM, discharge planning and/or home health care coordination experience • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills. • Ability to work independently Preferred Qualifications • Bilingual • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) • Compact RN license or willing and able to obtain multi-state RN licenses if needed Education • Associate's Degree Required, Bachelor's Preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 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 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. The benefits for this position include 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 . We anticipate the application window for this opening will close on: 05/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.