Case Manager Registered Nurse - Commercial Plan in Raleigh, NC

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. Position Summary The Case Manager RN position has an option for telework and/or hybrid role. Candidate MUST reside in North Carolina with a preference given to residence within driving distance of High Point, North Carolina. Schedule: • Monday–Friday, 9:00 AM–5:30 PM EST • Occasional evening, weekend, and holiday shifts based on team needs • Travel: 0–10%, including periodic travel to the High Point office for customer meetings The RN Case Manager is responsible for conducting telephonic assessments, developing care plans, and coordinating case management activities to evaluate and address members’ medical needs, supporting overall wellness and improved health outcomes. Required Qualifications • Active, unrestricted RN license in North Carolina • Multi‑state RN licensure is welcomed but not required; candidates must be willing and able to obtain additional state licensure after hire (company‑funded) • 2+ years of clinical RN experience • All clinical backgrounds considered, including: Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical/Surgical, Orthopedics, Long‑Term Care, Infusion, and similar settings Preferred Qualifications • Certified Case Manager (CCM) certification • 3+ years of experience using Microsoft Office Suite • Experience with integrated case management models • Discharge planning experience • Managed care experience • Bachelor of Science in Nursing (BSN) Education • Associate Degree in Nursing (ADN) 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.