CVS Health is seeking a Registered Nurse Case Manager to coordinate holistic care for diverse patient populations. In this role, you'll assess clinical and social needs, create person-centered care plans, and help close gaps in care across providers, benefits, and community resources. You'll deliver telephonic and virtual outreach, educate patients and caregivers, and support safe transitions to reduce avoidable ER visits and hospitalizations. You'll collaborate with an interdisciplinary team while leveraging CVS Health's tools and training to grow your career in a purpose-driven, inclusive environment. Responsibilities Provide telephonic and virtual case management for assigned patients, focusing on chronic and complex conditions Assess medical, psychosocial, and social determinant needs to develop person-centered care plans Coordinate care across providers, facilities, payers, and community resources to close gaps in care Educate patients and caregivers on conditions, medications, and self-management strategies Monitor clinical status, utilization, and adherence; intervene to prevent avoidable ER and hospital use Document assessments, care plans, and interventions accurately in electronic health records and care management systems Collaborate with interdisciplinary teams including physicians, pharmacists, and social workers Advocate for patient needs, benefits optimization, and access to appropriate services Track quality, outcome, and satisfaction metrics; support value-based care initiatives Maintain current clinical knowledge, licensure, and compliance with CVS Health policies and regulatory requirements Required Skills Clinical assessment and triage Care/case management Chronic disease management Utilization management Care plan development Patient and caregiver education Electronic health records (EHR) documentation Interdisciplinary care coordination Knowledge of health insurance and benefits Motivational interviewing Population health management Telehealth/telephonic nursing Regulatory and compliance knowledge (HIPAA, CMS) Time management and prioritization Data-driven quality and outcomes tracking