RN Case Manager - Care Coordination Leader

CVS Health; Longview (TX); On-site; USD 54,000 - 117,000; Full time

Benefits offered by this job

Health insurance

Vision & dental benefits

401K match

Paid time off

Education stipends

Job summary

Oak Street Health is seeking an RN, Case Manager for our Tyler and Longview clinics. This field-based, on-site role focuses on care coordination across PCPs, social workers, and interdisciplinary teams to reduce avoidable admissions and optimize transitions of care.

You will manage complex patient panels with a focus on Medicare populations, travel between clinics, and lead in-person care planning meetings while educating patients and families for better self-management.

Qualifications

• Current RN license in the assigned state is required; BSN preferred.
• Minimum of 6–8 years of nursing experience.
• Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire.
• 2+ years experience in transitional nursing, care coordination, discharge planning, or home health is strongly preferred.
• Fluency in Spanish or other languages spoken by the communities served is strongly preferred.
• US work authorization and ability to travel within OSH communities.

Responsibilities

• Manages an assigned caseload of complex patients to reduce admissions and readmissions.
• Owns overall care coordination and acts as the primary point of contact for the care team.
• Lead transitions of care and ensure timely completion of structured clinical assessments.
• Collaborates with PCPs, family caregivers, social workers, and other team members to meet patient goals.
• Document visits in the EHR per internal standards and participate in in-person care planning meetings.

Skills

RN License

Case Management

Care Coordination

Discharge Planning

EHR Documentation

Education

BSN preferred

Tools

EHR Systems

Job description

Oak Street Health is seeking an RN, Case Manager for our Tyler and Longview clinics. This field-based, on-site role focuses on care coordination across PCPs, social workers, and interdisciplinary teams to reduce avoidable admissions and optimize transitions of care.

You will manage complex patient panels with a focus on Medicare populations, travel between clinics, and lead in-person care planning meetings while educating patients and families for better self-management.