Role Description

This is a full-time, remote, telehealth role. Must live in a compact state and hold a compact license in MT or PST zones. Working schedule is Monday-Friday, standard business hours in time zone of residence with one to two days per week until 7 PM MT or PST.

This is an exciting team to join because we specialize in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral, and social challenges. We’re uniquely positioned to meaningfully improve health outcomes and costs.

As Case Manager RN, you will be responsible for:

• Assessing, planning, implementing, and coordinating all case management activities with members.
• Evaluating the medical needs of the member and facilitating the member’s overall wellness.
• Developing a proactive course of action to address issues presented to enhance short and long-term outcomes.
• Enhancing a member’s overall wellness through integration.

You will also:

• Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers.
• Conduct assessments that consider information from various sources to address all conditions.
• Use a holistic approach to assess the need for referrals to clinical resources and other interdisciplinary team members.
• Collaborate with supervisor and other key stakeholders in the member’s healthcare.
• Utilize case management processes in compliance with regulatory and company policies and procedures.
• Utilize motivational interviewing skills to ensure maximum member engagement.
• Work on behalf of the client and the member's provider.

Qualifications

• Registered Nurse that must reside in the Continental United States and hold an unrestricted nursing license with multi-state/compact privileges.
• Must live in MT or PST zones.
• 3+ years clinical/nursing practice experience.
• High speed internet- ability to hard wire computer.
• 1+ year(s) of medical case management experience, care coordination or discharge planning.
• 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications.

Requirements

• Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer.
• Minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, 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.).
• All new hires should provide their own workspace furniture (desk or standing desk).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Ability to log into secure systems (e.g., VPN, EHR portal) and manage strong passwords.
• Ability to resolve common technical issues independently.
• Openness to learning new skills in the future as the workplace environment evolves.

Preferred Qualifications

• Telephonic case management experience.
• Excellent communication and interpersonal skills.

Education

• Associate's degree in nursing required.
• BSN 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.

Benefits

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.

Company Description

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.