Case Manager Registered Nurse - Remote (Michigan)

Overview

Case Manager Registered Nurse - Remote (Michigan) at CVS Health. This is a full-time telework position with up to 10% travel. Hours for this position are Monday-Friday 8:00 a.m. to 5:00 p.m. CST.

What You Will Do

  • Administers the care coordination plan to assess patient needs and ensure seamless transitions between different care settings.
  • Analyzes complex patient data from medical history, diagnostic test results, and treatment plans to understand the current health status of the patient.
  • Applies in-depth knowledge of case management and nursing practices to organize patient files for easy retrieval.
  • Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans.
  • Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care.
  • Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific conditions.
  • Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators.
  • Designs complex processes to coordinate discharge planning in a safe and timely transition from hospital to home.
  • Develops resource management to help case managers optimize healthcare with community resources.

Required Qualifications

  • Must have active and unrestricted RN licensure in the state of Michigan.
  • 3+ years of clinical work experience.
  • 1+ year of Case Management experience.
  • Must be willing and able to travel up to 10% of the time. Reliable transportation required. Mileage is reimbursed per company policy.

Preferred Qualifications

  • Case Management experience.
  • Compact RN licensure.
  • Certified Case Manager.
  • Telephonic nursing experience.
  • Home health experience.
  • Customer service experience.
  • Cold calling experience.
  • Experience with Medicare population.
  • Additional national professional certification (CRC, CDMS, CRRN, COHN) is preferred, but not required.

Education

  • Associate’s Degree required; Bachelor’s degree 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 base salary; the actual offer depends on factors including experience, education, geography and other relevant factors. This position is eligible for CVS Health bonus, commissions or short-term incentives in addition to base pay.

Benefits

  • Competitive pay and benefits package including medical plan options and a 401(k) plan with company matching.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Additional benefit solutions addressing diverse needs, including paid time off, flexible schedules, family leave, dependent care resources, tuition assistance, retiree medical access and more, depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 10/17/2025

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

#J-18808-Ljbffr Salary: USD 60522 - 129615 per year Experience: 3 years required
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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