About the role
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 & Telephonic
- Location: Fort Worth to Dallas, TX (Remote with local travel)
- Travel: Up too, 75% within territory (Fort Worth to Dallas)
Position Summary
We are seeking a compassionate and experienced Nurse Case Manager (RN) to join our team. This is a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas–Fort Worth area.
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
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
If 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 Hours
40Time Type
Full timePay Range
The 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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Aplyr's read
CVS Health is a healthcare giant blending retail pharmacy with insurance services, ideal for those interested in diverse healthcare roles and innovation.
What's promising
- •CVS Health's integration of pharmacy and insurance offers diverse career paths.
- •Strong focus on healthcare innovation with initiatives like HealthHUB locations.
- •Extensive national presence provides job stability and opportunities for relocation.
What to watch
- •Recent layoffs in certain divisions raise concerns about job security.
- •High-pressure retail environment may lead to employee burnout.
- •Complex organizational structure can slow decision-making processes.
Why CVS Health
- •CVS Health's acquisition of Aetna uniquely positions it in both retail and insurance sectors.
- •HealthHUB stores offer a distinctive model combining retail and healthcare services.
- •CVS Caremark provides a robust platform for pharmacy benefits management.
Aplyr’s read is generated by AI from public sources. Was it useful?
About CVS Health
CVS Health is a healthcare company that provides a range of services including pharmacy benefits management, retail pharmacy, and health insurance services.
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