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Case Manager, Registered Nurse - Field - Houston Methodist Hospital Main

$60.52k - $129.62k

CVS Health Corporation

About This Role The Case Manager, Registered Nurse position at CVS Health involves a collaborative, member-centered approach to care management, focusing on assessment, care planning, coordination, evaluation, and advocacy for individuals and families. This role is ideal for experienced nurses who thrive in a hospital-based environment and are passionate about improving patient outcomes. Highlights Pay: $60,522 - $129,615/year Location: Houston, TX Facility: Houston Methodist Hospital Schedule: Full-time What You'll Do Serve as a liaison between members, families, providers, and healthcare personnel. Implement and coordinate case management activities for catastrophic and chronically ill members. Interact with members both telephonically and in person at Houston Methodist Hospital. Assess medical, functional, and vocational status to develop individualized care plans. Communicate effectively with stakeholders including medical providers and insurance carriers. Prepare timely and accurate documentation of all case management activities. Collaborate with internal multidisciplinary teams to support optimal member outcomes. Conduct outreach to treating physicians and specialists for care planning. Provide education and preventive guidance to promote best clinical outcomes. Monitor member progress and adjust care plans as needed. Requirements Education: Associate’s Degree in Nursing required, Bachelor’s Degree preferred Experience: 3+ years of clinical experience, preferably with Medicare and Commercial populations 3+ years of experience in care management, discharge planning, or home health coordination preferred Licenses & Certifications: Active and unrestricted Registered Nurse (RN) License in Texas required Willingness to obtain multi-state RN licensure preferred National certification (CRC, CDMS, CRRN, COHN, or CCM) preferred Benefits Medical, dental, and vision coverage Paid time off Retirement savings options Wellness programs and other resources About CVS Health CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on building a world of health around every individual, prioritizing safety and quality in all their services. #J-18808-Ljbffr CVS Health Corporation

Vacancy posted 3 days ago
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