Case Manager Registered Nurse - Field - Forth Worth to Dallas Texas in Fort Worth, TX
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
This position is work from home and will require home visits and possible visits to Nursing Facility.
Local travel: 50-75% Territory includes between Forth Worth and Dallas Texas.
- Nurse 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.
- Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
- Services strategies policies and programs are comprised of network management and clinical coverage policies.
- Coordinates and implements assigned care plan activities and monitors care plan progress
- Conducts multidisciplinary review to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
- Helps member actively and knowledgeably participate with their provider in healthcare decision-making
- Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
- Serve as a preceptor for newly hired nurses, nursing students, and other clinical staff
- support onboarding by teaching policies, workflows, and best practices
- Foster a positive learning environment that builds confidence and competence
Required Qualifications
- Active RN License in good standing
- Bachelor's degree in nursing
- 3+ years clinical practice experience
- 1+ year Case Management experience
Preferred Qualifications
- MCO experience
- Star Kids experience
- Bilingual preferred
Education
- Bachelor's degree in nursing
- preferred Registered Nurse
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
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, visithttps://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
This position is work from home and will require home visits and possible visits to Nursing Facility.
Local travel: 50-75% Territory includes between Forth Worth and Dallas Texas.
- Nurse 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.
- Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
- Services strategies policies and programs are comprised of network management and clinical coverage policies.
- Coordinates and implements assigned care plan activities and monitors care plan progress
- Conducts multidisciplinary review to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
- Helps member actively and knowledgeably participate with their provider in healthcare decision-making
- Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
- Serve as a preceptor for newly hired nurses, nursing students, and other clinical staff
- support onboarding by teaching policies, workflows, and best practices
- Foster a positive learning environment that builds confidence and competence
Required Qualifications
- Active RN License in good standing
- Bachelor's degree in nursing
- 3+ years clinical practice experience
- 1+ year Case Management experience
Preferred Qualifications
- MCO experience
- Star Kids experience
- Bilingual preferred
Education
- Bachelor's degree in nursing
- preferred Registered Nurse
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
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, visithttps://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job Details
Medical Speciality
Home Health
Employment Type
Full-time
Required License
RN (Registered Nurse)
Years of Experience
Intermediate
Shifts
Day shift
Work Setting
TelehealthOffice
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About CVS Health Corporation
CVS Health is a leading health solutions company in America, dedicated to providing integrated healthcare services to its members. With a team of over 300,000 professionals, including more than 40,000 healthcare providers, CVS Health focuses on enhancing the health of communities through extensive local presence and innovative digital channels. The company offers a wide range of services, from managing chronic diseases to ensuring medication compliance and providing access to affordable health and wellness solutions. With a commitment to improving access and lowering costs, CVS Health positions itself as a trusted partner in navigating the healthcare system. Their mission is to support individuals in every meaningful moment of health, doing so with heartfelt care every day. Follow their journey on social media to stay connected and engaged with their initiatives.