Registered Nurse Case Manager – Field

CVS Health

. Conduct comprehensive telephonic and in-person assessments of members' medical and behavioral health needs .

Posted 10/22/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting comprehensive assessments and developing individualized care plans while ensuring compliance with regulatory standards. Proficient in case management, member engagement, and fostering a positive learning environment for clinical staff.

Highest-signal resume keywords

Licensed Registered Nurse in Texas3+ Years Clinical Nursing Experience1+ Year Case Management ExperienceMotivational InterviewingMicrosoft Office 365 Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentTelephonic AssessmentsIn-Person AssessmentsDocumentation ComplianceCase ManagementQuality-of-Care IdentificationHealthcare Decision-Making EducationTechnical TroubleshootingEHR Portal AccessBilingual English/Spanish

Soft Skills

CollaborationCoachingMentoringCommunicationProblem-Solving

Tools & Technologies

VPN AccessSecure SystemsMultiple MonitorsTeams MessagingCalendar Invites

Certifications & Qualifications

Associate Degree in NursingLicensed Registered Nurse

Industry Keywords

Managed Care OrganizationSTAR Kids ProgramHIPAA ComplianceDallas Service Delivery AreaClinical Excellence

About the role

Key responsibilities & impact

Conduct comprehensive telephonic and in-person assessments of members' medical and behavioral health needs
Develop and implement individualized care plans aligned with clinical and program guidelines
Coordinate and monitor care plan activities, adjusting them to improve outcomes
Collaborate in multidisciplinary care reviews
Identify and escalate quality-of-care concerns
Engage members through motivational interviewing and coaching
Educate and empower members in healthcare decision-making with providers
Negotiate and coordinate appropriate services and resources
Maintain accurate and timely documentation according 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 learning environment promoting clinical excellence
Provide case management through telephonic and face-to-face engagement
Conduct frequent local travel for in-home member visits and occasional nursing or medical facility visits within the Dallas Service Delivery Area

Requirements

What you’ll need

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, Texas Service Delivery Area
Reliable transportation and willingness and ability to travel up to 75% of the time
Associate Degree in Nursing required
Direct/hardwired internet connection to a modem/router within 7 feet of the computer
Minimum internet speed of 25 Mbps download and 3 Mbps upload
WiFi and satellite internet are not permitted
Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently residing
Must provide own workspace furniture
Microsoft Office 365 or similar Google Workspace experience
Ability to use multiple monitors and applications simultaneously
Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
Ability to access secure systems such as VPN and EHR portals
Ability to follow computer security practices, manage strong passwords, and recognize suspicious emails or links
Ability to troubleshoot common technical issues independently
Willingness to learn new skills as the workplace evolves
Bachelor's in Science & Nursing preferred
Managed Care Organization experience preferred
STAR Kids program experience preferred
Bilingual English/Spanish preferred

Benefits

Comp & perks

Flexible work-from-home environment
Mileage reimbursement according to company expense reimbursement policy
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility