Case Manager, Registered Nurse – Field - Houston Methodist West Hospital

IntelliResume; Houston (TX); On-site; USD 61,000 - 130,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Case Manager, Registered Nurse in Houston, TX to apply a collaborative, member-centered approach to assess, plan, coordinate, evaluate, and advocate for individuals and families. This role is hospital-based and offers a full-time schedule.

The ideal candidate has an Associate’s Degree in Nursing with 3+ years of clinical and care management experience, Texas RN licensure, and is open to multi-state certification.

Qualifications

• Associate’s Degree in Nursing is required, Bachelor’s preferred.
• 3+ years of clinical experience, preferably with Medicare and Commercial populations.
• 3+ years in care management, discharge planning, or home health coordination preferred.
• Active and unrestricted RN license in Texas required.
• Willingness to obtain multi-state RN licensure preferred.
• National certifications (CRC, CDMS, CRRN, COHN, CCM) preferred.

Responsibilities

• Serve as liaison between members, families, providers, and healthcare personnel.
• Implement and coordinate case management for catastrophic and chronically ill members.
• Interact with members telephonically and in person during hospital visits.
• Assess medical, functional, and vocational status to develop care plans.
• Communicate with providers and insurance carriers.
• Prepare documentation of case management activities.
• Collaborate with multidisciplinary teams to support outcomes.
• Conduct outreach to treating physicians and specialists for care planning.
• Provide education and preventive guidance to promote outcomes.
• Monitor progress and adjust care plans as needed.

Skills

Care coordination

Discharge planning

Clinical documentation

Stakeholder communication

Member education

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing

RN License (Texas)

National certification (CRC/CDMS/CRRN/COHN/CCM)

Tools

Electronic Health Records (EHR)

Job description

About This Role

The Case Manager, Registered Nurse position at CVS Health involves applying a collaborative, member-centered approach to assess, plan, coordinate, evaluate, and advocate for the comprehensive health needs of individuals and families. This role is ideal for experienced nurses looking to make a significant impact in a hospital-based setting.

Highlights

• Pay: $60,522 - $129,615/year
• Location: Houston, TX
• Facility: Houston Methodist West Hospital
• Schedule: Full-time

What You'll Do

• Serve as a liaison between members, families, providers, and healthcare personnel.
• Implement and coordinate case management activities for catastrophic and chronically ill members.
• Interact with members both telephonically and in person during hospital visits.
• Assess medical, functional, and vocational status to develop individualized care plans.
• Communicate effectively with stakeholders including medical providers and insurance carriers.
• Prepare timely and accurate documentation of all case management activities.
• Collaborate with internal multidisciplinary teams to support optimal member outcomes.
• Conduct outreach to treating physicians and specialists for care planning.
• Provide education and preventive guidance to promote best clinical outcomes.
• Monitor member progress and adjust care plans as needed.

Requirements

Education

• Associate’s Degree in Nursing required, Bachelor’s Degree preferred

Experience

• 3+ years of clinical experience, preferably with Medicare and Commercial populations
• 3+ years of experience in care management, discharge planning, or home health coordination preferred

Licenses & Certifications

• Active and unrestricted Registered Nurse (RN) License in Texas required
• Willingness to obtain multi-state RN licensure preferred
• National certification (CRC, CDMS, CRRN, COHN, or CCM) preferred

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

About CVS Health

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on building a world of health around every individual, prioritizing safety and quality in their services.