Case Manager, Registered Nurse - Remote
- Location
- IA - Work from home; MO - Work from home
- Work mode
- Remote
- Employment type
- Full-time
Skills mentioned
- Registered Nurse (RN)
- Case Management
- Clinical Assessment
- Healthcare Benefits Administration
- Discharge Planning
- Home Health Coordination
- Member Wellness Programs
- Medical Documentation
- Microsoft Office Suite
- Problem-solving
- Interpersonal Communication
- Multi-system Navigation
Picked out of the job description automatically; check the full description for what the employer asks for.
About the job
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 to 5:00 PM
Position Summary 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.
Required Qualifications
- Active Iowa RN or Compact License
- Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
- Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
Preferred Qualifications
- Excellent analytical and problem-solving skills
- Minimum 2-3 years CM, discharge planning and/or home health care coordination experience
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently (may require working from home).
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Efficient and Effective computer skills including navigating multiple systems and keyboarding
- Willing and able to obtain multi state RN licenses if needed, company will provide.
- Bilingual preferred
- Certified Case Manager is preferred.
Education Associates Degree in Nursing. • Bachelor’s degree preferred
Licensure
- Registered Nurse licensure in the state of Iowa required
- Compact Licensure preferred
- Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required
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 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: 10/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
From 4004 Aetna Medicaid Administrators's careers page (Workday), checked 29 Oct 2026.
How to apply
- Select Apply on cvshealth.wd1.myworkdayjobs.com. It opens 4004 Aetna Medicaid Administrators's own application form in a new tab, run on Workday.
- Fill in the form and upload your résumé there. Jobiwork never sees your application.
- 4004 Aetna Medicaid Administrators will reply to you directly. No real employer asks you for money to apply.
Posted 29 Oct 2026 · checked 29 Oct 2026 · Report this job