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CVS Health

Runs pharmacies, health plans and clinics

Registered Nurse Case Manager

Full-TimePosted on 10/22/2026Deadline 11/23/26
$60.5k - $129.6k+ Bonus + Commission + Short-term incentive
Mid
Bachelor's, Associate's
Dallas, TX, USA
RemoteMust reside in the Dallas, Texas Service Delivery Area; work must be within the state and city where the employee currently lives.
Medical, Clinical & Veterinary
Company Historically Provides H1B Sponsorship

About the job

Requirements
  • Be a licensed Registered Nurse in Texas.
  • Have at least 3 years of clinical nursing experience.
  • Have at least 1 year of case management experience.
  • Reside in the Dallas, Texas Service Delivery Area.
  • Have reliable transportation and be willing and able to travel up to 75% of the time; mileage is reimbursed under the company expense reimbursement policy.
  • Have or be able to obtain a direct, hardwired internet connection to a modem or router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
  • Maintain a quiet, secure, private, organized home workspace that is free from distractions and compliant with CVS Health and HIPAA guidelines, allowing uninterrupted work during work hours.
  • Work within the state and city where currently living, as confirmed to the employer.
  • Provide workspace furniture, such as a desk or standing desk, and commit to meeting the work-from-home requirements if hired.
  • Be comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
  • Be able to communicate through digital channels, including email, calendar invitations, Teams messaging, and virtual meetings.
  • Have experience with Microsoft Office 365 applications (Teams, Outlook, Word, Excel, and PowerPoint) or similar tools such as Google Workspace.
  • Be able to log in to secure systems such as a VPN or EHR portal, secure an unattended computer, manage strong passwords, and recognize suspicious emails or links.
  • Be able to troubleshoot common technical issues, including restarting frozen applications and resolving internet connection issues, and contact IT for issues that cannot be resolved independently.
Responsibilities
  • Conduct comprehensive telephonic and in-person assessments of members' medical and behavioral health needs.
  • Develop and implement individualized care plans aligned with clinical and program guidelines.
  • Coordinate and monitor care plan activities, adjusting them 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 participate actively in healthcare decisions with their providers.
  • Use negotiation and coordination skills to secure appropriate services and resources.
  • Maintain accurate and timely documentation in accordance with 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 supportive learning environment that promotes clinical excellence.
Desired Qualifications
  • Experience in a Managed Care Organization (MCO).
  • Experience with the STAR Kids program.
  • Bilingual ability in English and Spanish.

About the company

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company Size

10,001+

Company Stage

IPO

Headquarters

Woonsocket, Rhode Island

Founded

1963

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Simplify's Take

What believers are saying

  • Demand is expanding: CVS Health reported $106.1 billion revenue in the June 2026 quarter, up 7.3% year over year.
  • Eligible colleagues get degree support: CVS Health's partner-college program covers tuition with no out-of-pocket cost through reimbursement.
  • Self-pay care is expanding: MinuteClinic announced $29 online weight-loss visits in August 2026, without recurring membership fees.

What critics are saying

  • Insurance leaves a narrow cushion: Aetna's medical costs consumed 87.4% of premium revenue in the June 2026 quarter.
  • Drug fees face limits: Caremark's July 2026 FTC settlement proposes separating fees from drug list prices.
  • Wilmington's pharmacist role includes mobility: CVS Rx Services lists up to 25% travel across nearby pharmacy locations.

What makes CVS Health unique

  • Its pharmacy shelves are tobacco-free: CVS removed tobacco products while keeping its national retail pharmacy network.
  • Caremark separates drug costs from service fees: TrueCost anchors pricing to acquisition benchmarks and makes dispensing fees visible.
  • Its clinics accept care-cost risk: Oak Street receives fixed payments from health plans rather than billing only per visit.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 401(k) Retirement Plan
  • Company Equity
  • Wellness Program
  • Professional Development Budget
  • Paid Vacation
  • Paid Holidays

Company News

Yahoo Finance
Oct 24th, 2026
CVS Health shares up 20.2% this year as bulls see $103 fair value and bears $62.09

CVS Health shareholders have gained 20.2% since the start of the year, including dividends, after the company launched its Health100 AI platform and quickly built out GLP-1 programmes. The shares cost $79.36 on January 1, 2026, and now trade at $93.47. Investors hold two views. Bulls set fair value at $103, assuming 18.0% revenue growth and a 2.0% profit margin. Bears put it at $62.09, assuming 7.0% growth, citing retail pressure and policy risk. Second-quarter 2026 revenue was $105.5 billion and net income $2.98 billion. Net margin reached 2.8%, up from 1.0% a year earlier, which supports the bulls, though lawsuits and regulatory settlements leave risks open.

Yahoo Finance
Oct 20th, 2026
CVS opens small 3,000 sq ft pharmacies to fill gaps left by 1,000 Walgreens and Rite Aid closures

CVS Health is opening small, pharmacy-only stores in communities left underserved after rivals closed locations. The chain has opened its newest 3,000-square-foot store in Roxbury, Massachusetts, just outside Boston. Walgreens and CVS have closed over 1,000 stores in recent years, and Rite Aid shut all 2,000 of its stores in 2023. Thinner margins strained profits at the chains. CVS plans to open 20 small-format stores this year. It already has sites in Birmingham, Chicago, Detroit, Houston, and Washington, D.C. Most offer immunisations as well as prescriptions. Smaller stores could cut inventory and rent costs. Walgreens has opened about 100 smaller stores for the same reason. IBISWorld puts the US pharmacy market at $739.4 billion in 2026.

PR Newswire
Oct 20th, 2026
MinuteClinic opens three Massachusetts clinics, including its first in Boston

CVS Health said MinuteClinic, its medical clinic inside select CVS Pharmacy stores, has opened three Massachusetts locations in Charlestown, Beverly, and Swampscott. The Charlestown clinic is the first MinuteClinic in Boston. Board-certified nurse practitioners staff each clinic. They offer vaccinations, health screenings, routine lab tests, physicals, and treatment for minor illnesses and injuries. Patients aged 18 months and older can walk in seven days a week, including evenings and weekends. Most major health insurance is accepted, and self-pay options are available. "By making care more accessible, we can help patients address health concerns earlier and avoid unnecessary visits to higher-cost settings such as the emergency room," said Tara Allain, executive area director at MinuteClinic.

Yahoo Finance
Oct 19th, 2026
CVS Health raises 2026 revenue forecast to $414B, but shares fall 11.5%

CVS Health raised its fiscal 2026 revenue forecast on August 5 to at least $414 billion, up from $405 billion in May. Yet the stock has fallen 11.5% since, against a 1.0% dip for the S&P 500. The company also lifted its adjusted earnings per share target to between $7.90 and $8.10, from $7.40 at the mid-point. It now expects cash flow from operations of at least $11.5 billion, up from $9.5 billion. Shares closed at $92.36 on October 16, just above the 50-day average of $91.73 and the 200-day average of $87.51. The new forecast implies second-half revenue about 0.5% below the same period last year. The next key test is the September quarter report, expected on November 4.

PR Newswire
Oct 7th, 2026
CVS Health opens first pharmacy-focused location in Boston area

CVS Health has opened its first pharmacy-focused location in the Boston area, situated at 32 Warren Street in Roxbury. The company plans to launch nearly 20 such locations across the US in 2026 to increase access to pharmacy care. The new format features full-service pharmacies averaging 3,000 square feet, offering prescription medications, immunisations, and over-the-counter products. Customers can order additional items with free home delivery. The Roxbury site includes a medication disposal bin and safe needle collection point. These smaller pharmacies complement CVS's existing formats, including traditional stores, store-in-store locations in Target and Schnucks, and sites with MinuteClinic facilities. According to CVS Health's 2025 Rx Report, 80% of patients prefer face-to-face pharmacy care, whilst 48% would switch pharmacies if limited to digital-only options.