About this opportunity
CVS Health lists this Case Manager - Registered Nurse opportunity in mountain home, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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.
nJob Summary
nThe Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members' needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies.
nKey Responsibilities
nnn50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
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nnCompiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member's identified needs.
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nnProvides evidence-based disease management education and support to help the member achieve health goals.
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nnEnsure the appropriate members of the interdisciplinary care team are involved in the member's care.
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nnProvides care coordination to support a seamless health care experience for the member.
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nnMeticulous documentation of care management activity in the member's electronic health record.
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nnCollaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member's stable health condition.
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nnIdentifies and connects members with health plan benefits and community resources.
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nnMeets regulatory requirements within specified timelines.
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nnThe Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed.
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nnAdditional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.
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n nEssential Competencies and Functions
nnnAbility to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role.
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nnConduct oneself with integrity, professionalism, and self-direction.
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nnExperience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care.
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nnFamiliarity with community resources and services.
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nnAbility to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.
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nnMaintain strong collaborative and professional relationships with members and colleagues.
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nnCommunicate effectively, both verbally and in writing.
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nnExcellent customer service and engagement skills.
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n nWork Expectations
nnnAccess to a private, dedicated space to conduct work effectively to meet the requirements of the position
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nnDependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted
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n nRequired Qualifications
nnnCandidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
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nnProficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Care Manager - Registered Nurse (CM RN) role
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nnAccess to a private, dedicated space to conduct work effectively to meet the requirements of the position
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nnDependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted
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nnConfidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
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nn3+ years of nursing experience
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nn2+ years of case management, discharge planning and/or home healthcare coordination experience
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n nPreferred Qualifications
nnnExperience providing care management for Medicare and/or Medicaid members
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nnExperience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health
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nnExperience conducting health-related assessments and facilitating the care planning process
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nnBilingual skills, especially English-Spanish
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n nEducation
nnnAssociate's of Science in Nursing (ASN) Degree and relevant experience in a health care-related field (REQUIRED)
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nnBachelor's of Science in Nursing (BSN) (PREFERRED)
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n nLicense
nnActive and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
n nAnticipated Weekly Hours
n40
nTime Type
nFull time
nPay Range
nThe typical pay range for this role is:
n$60,522.00 - $129,615.00
nThis 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.
nOur people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
nGreat benefits for great people
nWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
nnnAffordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
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nnNo-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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nnBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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n nFor more information, visit
nWe anticipate the application window for this opening will close on: 03/06/2026
nQualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
nCVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Worksite address
mountain home, TX, 78058, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.