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

CVS Health

Oregon

Hybrid

USD 61,000 - 130,000

Full time

6 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off

Job summary

CVS Health is seeking a Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home visits. The role supports managing member health in the Dallas Service Delivery Area, with telephonic and in-person assessments and care coordination.

The position emphasizes coaching, patient education, and collaborating with multidisciplinary teams to improve outcomes while ensuring HIPAA-compliant documentation and high-quality care.

Qualifications

  • Licensed Registered Nurse in Texas.
  • 3+ years of clinical nursing experience.
  • 1+ year of case management experience.
  • Must reside in Dallas TX Service Delivery Area.
  • Must have reliable transportation and be willing to travel up to 75% with mileage reimbursed.

Responsibilities

  • Conduct telephonic and in-person assessments of members' medical and behavioral health needs.
  • Develop and implement individualized care plans aligned with guidelines.
  • Coordinate and monitor care plan activities to improve outcomes.
  • Collaborate in multidisciplinary care reviews to optimize health results.
  • Identify and escalate quality of care concerns through proper channels.
  • Educate and empower members to participate in healthcare decisions with providers.
  • Use negotiation and coordination skills to secure services and resources.
  • Document accurately and timely per regulatory and company standards.
  • Serve as a preceptor and mentor to new nurses and clinical staff.
  • Support onboarding by teaching policies and workflows.

Skills

Clinical nursing
In-home visits
Motivational interviewing
Care coordination
Regulatory knowledge

Education

Associates Degree in Nursing
Bachelor's in Science in Nursing

Tools

EHR systems

Job description

Case Manager (RN) – Field & Telephonic

Location: Dallas Service Delivery Area Remote with local travel of up to 75% of the time.

Position SummaryNurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing or medical facilities within the Dallas Service Delivery Area.
Key Responsibilities
  • Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs
  • Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines
  • Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes
  • Collaborate in multidisciplinary care reviews to optimize member health results
  • Identify and elevate quality of care concerns through appropriate channels
  • Engage members using motivational interviewing and coaching techniques to encourage healthy lifestyle choices
  • Educate and empower members to actively participate in healthcare decision-making with their providers
  • Use strong negotiation and coordination skills to secure appropriate services and resources
  • Ensure accurate and timely documentation, adhering 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 that promotes clinical excellence
Why Join Us
  • Flexible work-from-home environment with meaningful in-person patient interaction
  • Opportunity to make a real impact on member health outcomes and quality of life
  • Collaborative team culture focused on growth, mentorship, and clinical excellence
Required Qualifications
  • Licensed Registered Nurse in Texas
  • 3 or more years of Clinical Nursing Experience
  • 1 or mor years case management experience
  • Must reside in Dallas TX Service Delivery Area
  • Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
Preferred Qualifications
  • Experience in a Managed Care Organization (MCO)
  • STAR Kids program experience
  • Bilingual (English/Spanish) preferred
Education
  • Associates Degree in Nursing Required
  • Bachelor's in Science & Nursing Preferred
Work from Home Requirements
  • You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer anda minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
  • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVSHealth and HIPAA guidelines, and allowing for uninterrupted work during work hours.
  • Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
  • The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their ownworkspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
  • If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Technical and Logistical Requirements
  • Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applicationssimultaneously to streamline tasks and improve efficiency.
  • Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, andvirtual meetings.
  • Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications orsimilar (Google Workspace).
  • Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen whenunattended, manage strong passwords, and recognize suspicious emails or links.
  • Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application whenfrozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
  • Future Growth: Openness to learning new skills in the future as the workplace environment evolves
Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Benefits

Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments .We anticipate the application window for this opening will close on: 11/23/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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