Registered Nurse Case Manager – Field

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

infoinfo

💵 $60.5k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Conduct comprehensive telephonic and in-person assessments of members’ medical and behavioral health needs • Develop and implement individualized care plans • Coordinate and monitor ongoing care plan activities • 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 • 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, supportive learning environment

🎯 Requirements

• Licensed Registered Nurse in Texas • 3 or more years of Clinical Nursing Experience • 1 or more years case management experience • Reliable transportation • Willing and able to travel up to 75% of the time • Experience in a Managed Care Organization (MCO) preferred • STAR Kids program experience preferred • Bilingual (English/Spanish) preferred • Associates Degree in nursing • BSN preferred

🏖️ Benefits

• Mileage is reimbursed per our company expense reimbursement policy • Flexible work-from-home environment • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

Apply Now

Similar Jobs

🔥 10 hours ago

Valeris

1001 - 5000

💊 Pharmaceuticals

🏥 Healthcare

🤝 B2B

Patient Support Nurse guiding oncology patients and caregivers through treatment access and education. Supporting Valeris’ life sciences clients with phone-based patient support.

🔥 17 hours ago

Elevance Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Medical Management Nurse reviewing complex inpatient cases for Elevance Health’s California HMO. Determining medical necessity, consulting Medical Directors, and supporting safe discharge planning.

🔥 21 hours ago

UCSF Pediatrics

1001 - 5000

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Nurse Care Coordinator Lead supervising clinical staff and coordinating pediatric chronic care. Managing appointments, family education, medication authorizations, and pharmacy communication remotely.

🇺🇸 United States – Remote

💵 $90k - $110k / year

⏰ Full Time

🟠 Senior

🗣️🇪🇸 Spanish Required

🕒 Yesterday

Lifelancer

51 - 200

💼 Consulting

🏥 Healthcare

📦 Logistics

CVS Health Registered Nurse Case Manager coordinating personalized care, utilization reviews, and discharge planning. Advocating for patients while improving healthcare outcomes remotely from Ohio.

🇺🇸 United States – Remote

💵 $60.5k - $129.6k / year

💰 Pre Seed Round on 2022-03

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 3 days ago

Humana

10,000+ employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Telephonic RN care manager supporting Humana Medicare members with chronic conditions and transitional care needs. Coordinating personalized care plans, resources, and interventions to improve outcomes and independence.