Case Manager Registered Nurse - Field in Fort Worth, Texas
CVS Health
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 ...
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