CVS Health Jobs in Texas

RN, Case ManagerWe'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.

Company: Oak Street Health

Location

Tyler Clinic, 2115 S Broadway Ave, Tyler, TX 75701; Longview Clinic, 1207 E Marshall Ave Longview, TX 75601

Role

Description: In partnership with the primary care provider, the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.

Core

Responsibilities

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization.

Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.

Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team.

Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members.

• Collaborates patient's PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
• Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.
• Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits.
• Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care.

Educate patients and families, empowering them in their care, and advocating for their needs.

Other duties as assigned.

What are we looking for?

Fluency in Spanish or other languages spoken by people in the communities we serve, strongly preferred

Current RN license in assigned state is required; Bachelor degree in nursing preferred.

Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience

2

A flexible and positive attitude

Comfort with ambiguity and change

High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.

Access to reliable transportation and ability to travel throughout the communities OSH serves

Fluency in Spanish or other languages spoken by people in the communities we serve, strongly preferred

US work authorization

Someone who embodies being Oaky

What does being Oaky look like?

Radiating positive energy

Assuming good intentions

Creating an unmatched patient experience

Driving clinical excellence

Taking ownership and delivering results

Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services.

We are an organization on the move! With over 200

Oak Street Health

Benefits

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients

Paid vacation, sick time, and investment/retirement 401K match options

Health insurance, vision, and dental benefits

Opportunities for leadership development and continuing education stipends

New centers and flexible work environments

Opportunities for high levels of responsibility and rapid advancement

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.