Registered Nurse Case Manager - Field in Dallas Texas Service Delivery Area

About the Role

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

Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing or medical facilities within the Dallas Service Delivery Area. In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes.

Responsibilities

• Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs
• Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines
• Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes
li>Collaborate in multidisciplinary care reviews to optimize member health results
• Identify and escalate quality of care concerns through appropriate channels
• Engage members using motivational interviewing and coaching techniques to encourage healthy lifestyle choices
• Educate and empower members to actively participate in healthcare decision-making with their providers
• Use strong negotiation and coordination skills to secure appropriate services and resources
• Ensure accurate and timely documentation, adhering to regulatory, accreditation, and company standards
• Serve as a preceptor and mentor to new nurses and clinical staff
• Support onboarding by teaching policies, workflows, and best practices
• Foster a positive, supportive learning environment that promotes clinical excellence

Why Join Us?

• Flexible work-from-home environment with meaningful in-person patient interaction
• Opportunity to make a real impact on member health outcomes and quality of life
• Collaborative team culture focused on growth, mentorship, and clinical excellence

Requirements

• Licensed Registered Nurse in Texas
• 3 or more years of Clinical Nursing Experience
• 1 or more years of case management experience
• Must reside in the Dallas TX Service Delivery Area
• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

• Experience in a Managed Care Organization (MCO)
• STAR Kids program experience
• Bilingual (English/Spanish) preferred

Education

• Associate's Degree in Nursing Required
• Bachelor's in Science & Nursing Preferred

Work From Home Requirements

• Direct/hardwired internet connection to a modem/router within 7 feet of your computer
• Minimum download speed of 25 Mbps and upload speed of 3 Mbps
• Quiet, secure, and private designated home virtual work location, compliant with CVS Health and HIPAA guidelines
• Work within the state and city where you currently live

Technical And Logistical Requirements

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously
• Ability to communicate on digital channels such as email, calendar invites, Teams messaging, and virtual meetings
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) or similar (Google Workspace)
• Ability to log in to secure systems, manage passwords, and recognize suspicious emails or links
• Ability to resolve common technical issues independently

Schedule

Anticipated Weekly Hours: 40
Time Type: Full time

Pay

The Typical Pay Range For This Role Is: $60,522.00 - $129,615.00
This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Benefits

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.