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CVS Health
CVS Health
HealthcareHealthcare InsuranceRetail
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.
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Field Registered Nurse Case Manager - Houston Hybrid

CVS Health is seeking a Registered Nurse Case Manager to coordinate assessments, individualized care plans, referrals, and hospital-based services. The role supports members through onsite collaboration with providers and multidisciplinary teams at Houston Methodist Hospital.

USUnited StatesTXTexas
$60,522 – $129,615 / year
HybridFull-timeMiddleSeniorEnglish RequiredNurse

Description

  • Act as a liaison among members, families, employers, providers, insurers, and healthcare professionals
  • Coordinate case management for members with catastrophic or chronic conditions across the care continuum
  • Arrange consultant referrals, home care, community resources, and alternative care settings
  • Engage with members by phone and in person while working onsite at Houston Methodist Hospital
  • Meet with members during inpatient hospital stays
  • Evaluate medical, functional, and vocational needs
  • Create and carry out individualized care plans
  • Communicate with providers, attorneys, employers, and insurance carriers
  • Maintain timely, accurate records of case management activities
  • Partner with internal multidisciplinary teams
  • Conduct outreach to treating physicians and specialists
  • Deliver member education and preventive guidance
  • Follow applicable laws, regulations, and payer requirements
  • Track member progress and revise care plans as needed
  • Develop proactive approaches for complex needs and short- and long-term wellness outcomes

Requirements

  • Hold an active, unrestricted Registered Nurse license in Texas
  • Bring at least three years of clinical experience, preferably with Medicare and commercial populations
  • Work independently in a hospital-based setting
  • Demonstrate strong analytical, problem-solving, organizational, and communication abilities
  • Use Microsoft Word, Excel, Outlook, PowerPoint, and proprietary clinical systems effectively
  • Navigate multiple systems and perform keyboard-based computer tasks efficiently
  • Have reliable transportation
  • Meet onsite hospital work requirements at Houston Methodist Hospital for up to 50–75% of the role
  • Associate degree in Nursing with equivalent clinical experience is required
  • Have at least three years of experience in care management, discharge planning, or home health coordination
  • Hold a national certification such as CRC, CDMS, CRRN, COHN, or CCM
  • Comfortably configure and use multiple monitors while working across applications
  • Communicate through email, calendar invitations, Teams messaging, and virtual meetings
  • Have experience with Microsoft Office 365 or comparable Google Workspace tools
  • Access secure systems such as VPN and electronic health record portals
  • Manage strong passwords and identify suspicious emails or links
  • Resolve common technical issues independently
  • Be willing to develop new skills as workplace technology and processes evolve

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Additional resources supporting physical, emotional, and financial well-being
  • CVS Health bonus, commission, or short-term incentive opportunity in addition to base pay

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