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

CVS Health•Cedar Crest, NM

5d•$60,522 - $129,615•Remote

About The Position

The Nurse Case Manager (RN) is a work-from-home role serving the Dallas Service Delivery Area that requires frequent local travel for in-home member visits and occasional visits to nursing or medical facilities. The role delivers case management through telephonic and face-to-face engagement, helping members navigate healthcare needs and achieve improved health outcomes. The position combines independent work with collaboration and mentorship in a patient-centered setting. Remote work requires a quiet, secure, private home workspace and a direct wired internet connection meeting the stated speed requirements. CVS Health provides computer equipment, while the colleague supplies workspace furniture. The role includes 40 anticipated weekly hours and is full time.

Requirements

Licensed Registered Nurse in Texas.
At least 3 years of clinical nursing experience.
At least 1 year of case management experience.
Must reside in the Dallas, Texas Service Delivery Area.
Must have reliable transportation and be willing and able to travel up to 75% of the time; mileage is reimbursed under the company expense reimbursement policy.
Must have or be able to obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
Must maintain a quiet, secure, private, distraction-free designated home workspace compliant with CVS Health and HIPAA guidelines and allowing uninterrupted work during work hours.
Must work within the state and city where currently living, as confirmed to the company.
Must provide workspace furniture, such as a desk or standing desk, and be prepared to work at a desk for extended periods.
Ability to use multiple monitors and navigate multiple applications simultaneously.
Ability to communicate using email, calendar invitations, Teams messaging, and virtual meetings.
Experience with Microsoft Office 365 applications or similar tools such as Google Workspace.
Ability to access secure systems, follow security practices, and recognize suspicious emails or links.
Ability to resolve common technical issues independently and contact IT when needed.
Openness to learning new skills as the workplace evolves.
Associate degree in Nursing required.

Nice To Haves

Experience in a Managed Care Organization (MCO).
STAR Kids program experience.
Bilingual in English and Spanish.
Bachelor of Science in Nursing preferred.

Responsibilities

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 as needed to improve outcomes.
Collaborate in multidisciplinary care reviews to optimize member health results.
Identify and escalate quality-of-care concerns through appropriate channels.
Use motivational interviewing and coaching to encourage healthy lifestyle choices.
Educate and empower members to participate actively in healthcare decision-making with their providers.
Use negotiation and coordination skills to secure appropriate services and resources.
Maintain accurate, timely documentation in accordance with 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.