Case Manager Registered Nurse - Field - Rockwall, Collin, and Dallas County, Texas

CVS Health • Birdsboro, PA

1d • Remote

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 flexible, work‑from‑home role requires up to 75% travel for in‑home member visits and follows a Monday–Friday, 8:00am–5:00pm CST schedule. The Case Manager delivers high‑quality, member‑centered care by conducting comprehensive in‑home assessments, developing individualized care plans, and coordinating services across physical, behavioral, and social needs for the pediatric demographic (0-21). Using advanced clinical judgment and strong critical‑thinking skills, the Case Manager collaborates with providers, interdisciplinary teams, and member support systems to ensure safe, cost‑effective care and optimal outcomes. Key responsibilities include facilitating access to Long‑Term Services and Supports (LTSS), advocating for members during care transitions, monitoring progress toward care goals, and documenting timely and accurately in the electronic health record. The role requires exceptional assessment, communication, and writing skills, along with the ability to motivate members, address barriers, and support informed decision‑making.

Requirements

• Active and unrestricted RN license in the state of TX
• 2+ years of clinical experience
• Must reside in Rockwall, Collin, or Dallas County of TX
• Must possess reliable transportation and be willing and able to travel up to 75% of the time in Denton County, Collin County, Dallas County or surrounding counties
• Mileage is reimbursed per our company expense reimbursement policy

Nice To Haves

• Case Management and/or home health care experience
• Managed care organization (MCO) experience
• Pediatric experience

Responsibilities

• conducting comprehensive in‑home assessments
• developing individualized care plans
• coordinating services across physical, behavioral, and social needs for the pediatric demographic (0-21)
• collaborates with providers, interdisciplinary teams, and member support systems to ensure safe, cost‑effective care and optimal outcomes
• facilitating access to Long‑Term Services and Supports (LTSS)
• advocating for members during care transitions
• monitoring progress toward care goals
• documenting timely and accurately in the electronic health record

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
• Education Level: No Education Listed