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Care Manager RN

📍 Remote (USA)

CVS Health

About the Role

Coordinates comprehensive care for members with complex medical, behavioral, and social needs by conducting assessments, addressing social determinants of health, and connecting members to appropriate resources. Develops and manages individualized care plans, educates patients and families, advocates for services, and collaborates with an interdisciplinary team to support optimal outcomes while maintaining accurate documentation.

Requirements

Minimum 3+ years of nursing experience Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience Must have active and unrestricted Registered Nurse (RN) licensure in the state of OH OR compact licensure in state of residence ****To apply and view the full job description, compensation details, and requirements, please visit the company’s official website: https://jobs.cvshealth.com/us/en/careerareas JOB ID: R0872621

Posted until: May 15, 2026

RN Telephonic Case Manager

📍 Remote (USA)

Sedgwick

About the Role

Conducts telephonic clinical assessments to evaluate injured workers’ medical, psychosocial, and support needs, while coordinating with stakeholders to facilitate recovery and return to work. Identifies barriers to progress, negotiates care using clinical guidelines, promotes cost-effective treatment, and ensures compliance with privacy, ethical, and regulatory standards.

Requirements

Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. Identifies opportunities to expedite care for cost containment and timely medical recovery. ***To apply and view the full job description, compensation details, and requirements, please visit the company’s official website: https://www.sedgwick.com/careers/nurse/ JOB ID: R70766

Posted until: May 15, 2026