Case Manager Registered Nurse - Field I635 Corridor Texas

CVS Health • Garland, TX

9d • $60,522 - $129,615 • Hybrid

About The Position

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 This is a Field/Work at Home Case Manager opportunity with up to 75% field travel in Balch Springs, Sunnyvale, Mesquite, South Garland and Rowlett Texas. The working schedule is Monday - Friday 8am-5pm CST The Case Manager is responsible for conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Texas Star Kids to evaluate the medical needs of the member to facilitate the member’s overall wellness. Member assignment demographic is pediatric population (0-21). The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place. The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner. The care manager is responsible for documenting accurately and timely in the member’s electronic health record. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. This position requires the case manager to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency has been attained in their role.

Requirements

• Must reside in one of the following locations in Texas, Balch Springs, Sunnyvale, Mesquite, South Garland and Rowlett
• 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
• Active and Unrestricted RN license in TX
• Must possess reliable transportation and be willing and able to travel 50-75% of the time in Texas. Mileage is reimbursed per our company expense reimbursement policy
• 1 or more years of Case Management Experience

Nice To Haves

• Managed Care Organization Experience
• Star Kids experience
• Bilingual preferred (Spanish)

Responsibilities

• conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Texas Star Kids to evaluate the medical needs of the member to facilitate the member’s overall wellness
• schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place
• works with the member and care team to develop a care plan and authorizes services in a cost-effective manner
• responsible for documenting accurately and timely in the member’s electronic health record
• responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants
• mentor new hires, once, a level of proficiency has been attained in their role

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level