Position Summary The Case Manager RN is responsible for telephonic and/or face-to-face assessment, planning, implementation, and coordination of case management activities for members. The role evaluates members' medical needs to promote overall wellness, improve short- and long-term outcomes, and support appropriate, cost-effective care delivery aligned with Aetna/CVS Health benefit plans and clinical policies.

Required Qualifications

• Registered Nurse (RN) with current, unrestricted state licensure (New York licensure required for NY backfill).
• Minimum of 5 years of clinical practice experience.
• Strong clinical assessment, critical thinking, and care coordination skills.
• Effective written and verbal communication skills.
• Ability to work independently in a telephonic/remote environment while collaborating effectively with cross-functional teams.

Preferred Qualifications

• Prior case management, care management, or utilization management experience.
• Experience working with Medicaid and/or LTSS populations.

Education

• Associates Degree in Nursing
• Bachelor of Science in Nursing (BSN) 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. 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