Case Manager Registered Nurse - Field - Forth Worth to Dallas Texas

nting and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.

• 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's overall wellness through integration.

• Services strategies policies and programs are comprised of network management and clinical coverage policies.

• Coordinates and implements assigned care plan activities and monitors care plan progress

• Conducts multidisciplinary review to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels

• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs

• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

• Helps member actively and knowledgeably participate with their provider in healthcare decision-making

• 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

• Serve as a preceptor for newly hired nurses, nursing students, and other clinical staff

• support onboarding by teaching policies, workflows, and best practices

• Foster a positive learning environment that builds confidence and competenceRequired Qualifications

• Active RN License in good standing

• Bachelor's degree in nursing

• 3+ years clinical practice experience

• 1+ year Case Management experience

Preferred Qualifications

• MCO experience

• Star Kids experience

• Bilingual preferredEducation

• Bachelor's degree in nursing

• preferred Registered NurseAnticipated 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - 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:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.