Case Manager, Registered Nurse – Field - Houston Methodist West Hospital

The Case Manager, Registered Nurse position at CVS Health involves applying a collaborative, member-centered approach to assess, plan, coordinate, evaluate, and advocate for the comprehensive health needs of individuals and families. This role is ideal for experienced nurses looking to make a significant impact in a hospital-based setting.

• Pay: $60,522 - $129,615/year
• Location: Houston, TX
• Facility: Houston Methodist West Hospital
• Schedule: Full-time

• 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 during hospital visits.
• 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.

• Associate’s Degree in Nursing required, Bachelor’s Degree preferred

• 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

• 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

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

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 their services.