case manager nurse

CVS Health

<div>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Location Requirement: Mid-Cities, NE Forth Worth to NW Dallas
Keller, Grapevine, Euless, Coppell, N. Irving.
Position Summary
This position is work from home and will require travel for members for home, Long term Care Facilities and/or Group Home Visits.
Roles and Responsibilities:<ul><li>
Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member&rsquo;s overall wellness.</li><li>
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member&rsquo;s overall wellness through integration.</li><li>
Services strategies policies and programs are comprised of network management and clinical coverage policies.</li><li>
Coordinates and implements assigned care plan activities and monitors care plan progress.</li><li>
Conducts multidisciplinary review in order to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels.</li><li>
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member&rsquo;s benefits and/or healthcare needs.</li><li>
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.</li><li>
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>
Helps member actively and knowledgeably participate with their provider in healthcare decision-making.</li><li>
Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.</li></ul>
Required Qualifications<ul><li>
Resident of Texas Mid-Cities area: NE of Forth Worth to NW of Dallas</li><li>
Registered Nurse &ndash; Texas or Compact</li><li>
3+ years clinical practice experience in Pediatrics</li><li>
1+ year Case Management experience</li><li>
Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy</li></ul> 
Preferred Qualifications<ul><li>
MCO experience</li><li>
Star Kids experience</li><li>
Bilingual preferred in Spanish</li></ul> 
Education<ul><li>
Associates Degree Required</li><li>
BSN Preferred</li></ul>
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. 
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 our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/08/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

<div>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Case Manager RN
WFH Flexible
Position Summary 
 
Help us elevate our patient care to a whole new level! 
 
This role will be 25-50% travel within Wayne and Macomb Counties. This is a work from home position. 
Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday shifts! Opportunities to work a 4 day 10 hour work week after completion of training. 
 
Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members&rsquo; health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member&rsquo;s overall wellness. 
<ul><li>
Visiting members in their homes to evaluate for appropriateness for waiver services, writing the waiver and submitting for approval. 
<ul><li>Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member&rsquo;s overall wellness.</li><li>Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.</li><li>Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.</li><li>Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.</li><li>Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.</li><li>Collaborates with supervisor and other key stakeholders in the member&rsquo;s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences</li><li>Utilizes case management processes in compliance with regulatory and company policies and procedures.</li><li>Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.</li></ul></li></ul>
Required Qualifications<ul><li>Registered Nurse with active MI state license in good standing</li><li>Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually</li><li>Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise</li><li>Excellent analytical and problem-solving skills</li><li>Effective communications, organizational, and interpersonal skills.</li><li>Ability to work independently</li><li>Effective computer skills including navigating multiple systems and keyboarding</li><li>Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint</li></ul>
Preferred Qualifications<ul><li>Care Management, discharge planning and/or home health care coordination experience preferred</li><li>Certified Case Manager preferred</li></ul>
Education<ul><li>Associates required, BSN preferred</li></ul>
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. 
 
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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. 
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 our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager Registered Nurse - Field (Wayne and Macomb County)

Interim HealthCare

<div>Description
Our Registered Nurse Case Managers (RNCM) have been called to care when they&rsquo;re needed most. At Interim HealthCare, you&rsquo;ll support a full range of patient services to bring comfort and dignity to our clients. 
What we offer our Registered Nurse Case Managers (RNCM):
<ul><li>Competitive pay, benefits, and incentives.
</li><li>Truly flexible scheduling &ndash; a dedication to work/life balance &ndash; Full-time/ Part-time / PRN / Weekends
</li><li>Daily Pay option available
</li><li>No Overtime Required
</li><li>1:1 patient care</li></ul> 
Excited to hear more? 
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you&rsquo;ll change lives every day. 
As a Registered Nurse Case Manager (RNCM), you will:
<ul><li>Conduct In Person patient interviews and comprehensive physical assessments.</li><li>Oversee the implementation and ongoing assessment of the patient&rsquo;s plan of care through the management of home health aides, LPNs, RNs, and other caregivers.</li><li>Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.</li><li>Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.</li><li>Work to decrease readmissions by promoting preventative care and ensuring continuity of care.</li></ul> 
To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need:
<ul><li>Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position
</li><li>Current CPR/AED/BLS/First Aid certification
</li><li>Reliable transportation to/from care sites and/or work locations.</li><li>One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.</li><li>OASIS experience preferred.</li><li>Practical trach and/or ventilator experience preferred, not required.</li></ul> 
At Interim HealthCare, we know that being our best is non-negotiable &ndash; that&rsquo;s why we treat your family like our own. We take a patient-centric approach to address each individual&rsquo;s mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life&rsquo;s work. 
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
 #Kentucky1</div>

RN Case Manager

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Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

Case Manager Registered Nurse - Field (Wayne and Macomb County)

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

RN Case Manager