Registered Nurse Case Manager - Field

Case Manager (RN) – Field

Location: Mesquite, Balch Springs, Forney, Talty, Seagoville, Hutchins, Lancaster, Ferris, Red Oak, Cockrell Hill, Cedar Hill, Wilmer, West Dallas, Highland Park and South Dallas (Remote with local travel)

Travel: Up to, 75% within territory

Position Summary

Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas & Surrounding Areas in Texas

In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes.

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 escalate 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

Required Qualifications

• Active, unrestricted Registered Nurse (RN) license
• Bachelor's degree in Nursing (BSN)
• Minimum 3+ years of clinical experience
• At least 1+ years of case management experience

Preferred Qualifications

• Experience in a Managed Care Organization (MCO)
• STAR Kids program experience
• Bilingual (English/Spanish) preferred

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.