Case Manager, Registered Nurse – Field

CVS Health

Case Manager for Aetna Clinical Collaboration providing member-centric care at Houston Methodist. Involves assessment, coordination, and advocacy for health needs in a hospital-based setting.

Posted 5/19/2026full-timeThe Woodlands • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

About the role

Key responsibilities & impact

serve as a liaison between members/clients, families, employers, providers, insurance carriers, and healthcare personnel as appropriate
implement and coordinate case management activities for catastrophic and chronically ill members
interact with members/clients both telephonically and in person while working on-site
assess medical, functional, and vocational status to develop and implement individualized plans of care
communicate effectively with stakeholders including medical providers, attorneys, employers, and insurance carriers
prepare timely and accurate documentation of all case management activities
collaborate with internal multidisciplinary teams
conduct outreach to treating physicians and specialists
provide education and preventive guidance to promote best clinical outcomes
monitor member progress toward desired outcomes

Requirements

What you’ll need

active and unrestricted Registered Nurse License (RN) in Texas (TX)
reliable transportation
3+ years of clinical experience, preferably with Medicare and Commercial populations
ability to work independently within a hospital‑based environment
strong analytical, problem‑solving, organizational, and communication skills
proficiency in Microsoft Word, Excel, Outlook, PowerPoint, and proprietary clinical systems
efficient computer skills, including navigating multiple systems and keyboarding

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

case managementclinical experienceindividualized plans of caremedical assessmentfunctional assessmentvocational assessmentdocumentationoutreachpreventive guidancemonitoring progress

Soft Skills

communicationanalytical skillsproblem-solvingorganizational skillsindependencecollaborationinterpersonal skillseducationstakeholder engagementcustomer service

Certifications

Registered Nurse License (RN)Texas (TX)