Case Manager Registered Nurse - UAS NY Certified

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:

Registered Nurse (RN) – Quality Review
You will be responsible for conducting quality checks on completed member assessments within the New York Long Term Services and Supports (LTSS) program. This role ensures all assessments meet program requirements, regulatory standards, and the UAS-NY Certification guidelines. The RN reviews assessments for accuracy, completeness, clinical appropriateness, and compliance, providing feedback and guidance to support high-quality, consistent assessment outcomes.
Working collaboratively with assessment staff, quality teams, and leadership, the RN serves as a clinical subject matter expert, helping to uphold program integrity, support continuous quality improvement, and ensure members’ needs are accurately captured to support appropriate service planning and authorization.

Required Qualifications:
Active RN License in the State of New York
UAS Certification for New York
3 or more years’ experience in MLTC(Managed Long Term Care)
3 or more years’ experience in performing UAS NY Assessments

Preferred Qualifications:
Certified Case Manager (CCM) certification
Strong problem‑solving and decision‑making skills
Working knowledge of medical terminology
Comfortable using digital systems and documentation platforms
Ability to interact tactfully and professionally with staff, members, and community partners
Demonstrated ability to handle sensitive and confidential information responsibly
Strong judgment in weighing options to determine the most appropriate clinical and operational decisions
Experience working effectively within culturally diverse clinical environments

Education and License Requirements:
Bachelor's Degree in Nursing (BSN)
New York Registered Nurse License, Active and unencumbered
UAS -NY Certification

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range
The typical pay range for this role is:

$66,575.00 - $142,576.00
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 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 Benefits Moments.

We anticipate the application window for this opening will close on: 05/31/2026

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

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