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

CVS Health • Dallas, TX

4d • Remote

About The Position

CVS Health is hiring a Registered Nurse Case Manager for a work-from-home role serving the Dallas Service Delivery Area. The position combines telephonic case management with frequent local travel—up to 75% of the time—for in-home member visits and occasional visits to nursing or medical facilities. The nurse provides case management to help members navigate healthcare needs and improve health outcomes.

The role includes assessing members' medical and behavioral health needs, developing and coordinating individualized care plans, collaborating with multidisciplinary teams, and educating and coaching members. The nurse also documents services in accordance with regulatory, accreditation, and company standards and mentors new nurses and clinical staff.

The work-from-home setup requires a quiet, secure, private designated workspace and a direct wired internet connection meeting specified speed requirements; WiFi and satellite internet are not permitted. CVS Health provides computer equipment, while the colleague provides workspace furniture. The role requires working from within the state and city where the colleague has confirmed they live. Reliable transportation is required for local travel, with mileage reimbursed under company policy.

Requirements

• Active Registered Nurse license in Texas.
• At least 3 years of clinical nursing experience.
• At least 1 year of case management experience.
• Must reside in the Dallas Service Delivery Area.
• Must have reliable transportation and be willing and able to travel up to 75% of the time.
• Associate degree in nursing required.
• Must have or be able to obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with at least 25 Mbps download and 3 Mbps upload; WiFi and satellite internet are not permitted.
• Must maintain a quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines and free from distractions.
• Must work from within the state and city where currently residing.
• Must provide workspace furniture, such as a desk or standing desk.
• Must comply with work-from-home requirements and required internet speeds.
• Must be comfortable using multiple monitors and navigating multiple applications simultaneously.
• Must be able to communicate through email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 or similar applications such as Google Workspace.
• Must be able to access secure systems, follow computer and password security practices, and recognize suspicious emails or links.
• Must be able to troubleshoot common technical issues and contact IT when issues cannot be resolved independently.
• Openness to learning new skills as the workplace evolves.

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 and make adjustments 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 techniques to encourage healthy lifestyle choices.
• Educate and empower members to participate actively in healthcare decisions 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.
• Travel locally for in-home member visits and occasional visits to nursing or medical facilities.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting colleagues' physical, emotional, and financial well-being, based on eligibility
• CVS Health bonus, commission, or short-term incentive program eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree