Registered Nurse Case Manager - Field in Tarrant

Case Manager (RN) - Field & Telephonic

Location: Fort Worth, Arlington, Edgecliff Village, Richland Hills, Kennedale and Forest Hill, TX (Remote with local travel)

Travel: Up to 75% within territory

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.

• 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

• Active, unrestricted Registered Nurse (RN) license
• Must reside in the following area:
  Fort Worth, Arlington, Edgecliff Village, Richland Hills, Kennedale and Forest Hill, TX
• Minimum 3+ years of clinical experience
• At least 1+ years of 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

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

• Associates Degree in Nursing
• Bachelor's Degree in nursing (BSN) - Preferred

• 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

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.

The typical pay range for this role is: $60,522.00 - $. This 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.

Anticipated Weekly

Hours:

40

Time Type: Full time

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