Registered Nurse Case Manager - Field in Denton County Texas

Case Manager (RN) – Field & Telephonic

Location: Denton County Texas

Remote with local travel of up to 75% of the time

Position Summary

Nurse 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 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 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

• Licensed Registered Nurse in Texas
• 3 or more years of Clinical Nursing Experience
• 1 or more years case management experience
• 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

Preferred Qualifications

• Experience in a Managed Care Organization (MCO)
• STAR Kids program experience
• Bilingual (English/Spanish) preferred

Education:

• Associates Degree in nursing
• BSN 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: 40

Time Type: Full time

Pay Range: $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.

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. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being 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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.