Scan your resume against ATS criteria for this A1A Case Manager RN - Registered Nurse - NC role at CVS Health.
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 person, family and community at a time.
This RN Case Manager role is part of Aetna Advocacy (A1A) and requires in office training and work in High Point, Nc. There is a requirement to live within a commutable distance of High Point, Nc (typically within 45 minutes maximum).
The expected start date for the cohort is November 9, 2026.
The initial in office training will last for approximately 4 months.
Once office training is complete, the role is work from home with occasional in office workdays scheduled in advance with the employee.
There will be an expectation that the Case Manager works in the office at least time per quarter for further training but it may be more often and notice will be provided
What is A1A? Aetna Advocate is Aetna’s premier service and clinical offering for Aetna nation-wide and creates industry-leading solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors. The high-touch, high-tech member advocacy service combines data-driven processes with the expertise of highly trained clinical and concierge member services. Our mission is to meet each member at every aspect of their health care journey. Our embedded customer-dedicated service and clinical pods allow maximization of inbound and outbound touchpoints to solve members’ needs and create behavior change. Our data analytics, white-glove service and end-to-end ownership of member support creates a trusted partner in health. This is an exciting time to join Aetna, a CVS Health company, in our journey to change the way healthcare is delivered today. We are health care innovators.
The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness
– Through the use of clinical tools and information/data review, conducts an evaluation of member’s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
– Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
– Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
– Reviews prior claims to address potential impact on current case management and eligibility.
– Assessments include the member’s level of work capacity and related restrictions/limitations.
– Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
– Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
– Utilizes case management processes in compliance with regulatory and company policies and procedures.
– Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation
Upon hire, it will be required to obtain all 50 state licenses.
3+ years of clinical practice experience required as an RN
There is a requirement to live within a commutable distance of High Point, Nc (typically within 45 minutes maximum)
Certified Case Manager (CCM) certification
Oncology Experience
Bilingual in English and a 2nd language
Diabetes Care and Education Specialist
Education:
Associates Degree in Nursing required.
BSN preferred.
a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Technical and Logistical Requirements:
Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications
simultaneously to streamline tasks and improve efficiency.
virtual meetings.
similar (Google Workspace).
unattended, manage strong passwords, and recognize suspicious emails or links.
frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
40
Full time
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.
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 https://learn.bswift.com/cvshealth-mainland Benefits Moments.
We anticipate the application window for this opening will close on: 09/29/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
medical needs of the member to facilitate the member’s overall wellness.
How to apply for A1A Case Manager RN - Registered Nurse - NC at CVS Health?
Click the "Apply on Company Website" button on this page to submit your application directly on the employer's official portal.
What is the salary for this role?
The salary for this role is $54,095.00 - $116,760.00 per annum.
What experience is required?
3+ years of experience is required.
Is this position still open?
Yes, currently active and accepting applications.
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