Registered Nurse Case Manager – Field

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $60.5k - $129.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

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 aligned with clinical and program guidelines • Coordinate and monitor care plan activities, adjusting them to improve outcomes • 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 with providers • 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 learning environment promoting clinical excellence • Provide case management through telephonic and face-to-face engagement • Conduct frequent local travel for in-home member visits and occasional nursing or medical facility visits within the Dallas Service Delivery Area

🎯 Requirements

• Licensed Registered Nurse in Texas • 3 or more years of clinical nursing experience • 1 or more years of case management experience • Must reside in the Dallas, Texas Service Delivery Area • Reliable transportation and willingness and ability to travel up to 75% of the time • Associate Degree in Nursing required • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Must provide own workspace furniture • Microsoft Office 365 or similar Google Workspace experience • Ability to use multiple monitors and applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer security practices, manage strong passwords, and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently • Willingness to learn new skills as the workplace evolves • Bachelor's in Science & Nursing preferred • Managed Care Organization experience preferred • STAR Kids program experience preferred • Bilingual English/Spanish preferred

🏖️ Benefits

• Flexible work-from-home environment • Mileage reimbursement according to company expense reimbursement policy • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility