RN Case Manager — Hospital Care & Coordination

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Case Manager, Registered Nurse to join a hospital-based care management team in Houston. The role focuses on assessment, care planning, coordination, evaluation, and advocacy for individuals and families, with a collaborative, member-centered approach.

The RN will work at Houston Methodist Hospital, coordinating services for catastrophic and chronically ill members, communicating with providers and insurers, and documenting all activities to support optimal patient

Qualifications

• Associate’s Degree in Nursing required, Bachelor’s Degree preferred.
• 3+ years of clinical experience, Medicare/Commercial populations preferred.
• 3+ years in care management, discharge planning, or home health coordination preferred.
• Active and unrestricted RN license in Texas required.

Responsibilities

• Serve as liaison between members, families, providers, and healthcare personnel.
• Coordinate case management activities for catastrophic and chronically ill members.
• Interact with members telephonically and in person at Houston Methodist Hospital.
• Assess medical, functional, and vocational status to develop individualized care plans.
• Communicate with medical providers and insurance carriers.
• Document all case management activities timely and accurately.
• Collaborate with multidisciplinary teams to support member outcomes.
• Outreach to treating physicians and specialists for care planning.
• Provide education and preventive guidance to promote outcomes.

Skills

Case management

Communication skills

Collaboration

Patient education

Education

Associate's Degree in Nursing

Bachelor’s Degree preferred

Job description

CVS Health is seeking a Case Manager, Registered Nurse to join a hospital-based care management team in Houston. The role focuses on assessment, care planning, coordination, evaluation, and advocacy for individuals and families, with a collaborative, member-centered approach.

The RN will work at Houston Methodist Hospital, coordinating services for catastrophic and chronically ill members, communicating with providers and insurers, and documenting all activities to support optimal patient