Registered Nurse Case Manager - Field in Denton County Texas

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Case Manager (RN) - Field & TelephonicLocation: Denton County TexasRemote with local travel of up to 75% of the timePosition 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 facilities within the Denton County (Denton, Justin, Ponder, Flower Mound, Highland Village, North Lake)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 ResponsibilitiesConduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needsDevelop and implement individualized care plans, ensuring alignment with clinical and program guidelinesCoordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomesCollaborate in multidisciplinary care reviews to optimize member health resultsIdentify and escalate quality of care concerns through appropriate channelsEngage members using motivational interviewing and coaching techniques to encourage healthy lifestyle choicesEducate and empower members to actively participate in healthcare decision-making with their providersUse strong negotiation and coordination skills to secure appropriate services and resourcesEnsure accurate and timely documentation, adhering to regulatory, accreditation, and company standardsServe as a preceptor and mentor to new nurses and clinical staffSupport onboarding by teaching policies, workflows, and best practicesFoster a positive, supportive learning environment that promotes clinical excellenceRequired QualificationsLicensed Registered Nurse in Texas3 or more years of Clinical Nursing Experience1 or mor years case management experienceMust possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policyPreferred QualificationsExperience in a Managed Care Organization (MCO)STAR Kids program experienceBilingual (English/Spanish) preferredEducation:Associates Degree in nursingBSN PreferredWhy Join Us?Flexible work-from-home environment with meaningful in-person patient interactionOpportunity to make a real impact on member health outcomes and quality of lifeCollaborative team culture focused on growth, mentorship, and clinical excellenceIf you're a dedicated RN who thrives in a dynamic, patient-centered role and enjoys both independence and collaboration, we encourage you to apply!Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,522.00 - $129,615.00This 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 06/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.