Nursing Jobs in Shawnee, OK
$78,331 - $168,714 / YEAR
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. Summary : The Manager, Care Management, develops, implements, supports, and promotes health services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to Aetna Better Health of Oklahoma behavioral health (BH) membership. The Manager is responsible for oversight and management of clinical team processes including the organization and development of high performing teams. Also responsible for ensuring the functioning of care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The Manager reports to the Director, Clinical Health Services, Care Coordination. This is a fully remote, work from home position that may require on-site meetings. Eligible candidates must live in Oklahoma preferably within a one-hour commute to Oklahoma City. Position Responsibilities: Accountable for the day-to-day management of assigned care management teams for appropriate implementation and adherence with established practices, policies and procedures. Participates in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills. Develops, initiates, monitors and communicates performance expectations. Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams. Supports the management of complex physical and behavioral health cases by being clinically and culturally competent with appropriate training and experience. Utilizes critical thinking and judgment to collaborate and inform the care management process in order to facilitate appropriate healthcare outcomes for members. Ensures access to primary care, behavioral health, and coordination of health care services for members as needed. Provides clinical leadership and assists care management staff in supporting members’ understanding of service recommendations based on member need. Conducts regularly scheduled individual and team meetings with a focus on member service delivery, completion of administrative duties, and meeting established productivity standards. Using a holistic approach consults with care managers, medical directors, system of care, social support teams and/or other market staff to overcome barriers to meeting goals and objectives. Identifies and escalates quality of care issues through established channels. Conducts all administrative duties in accordance with established standards for supporting and managing a team. Communicates strategic plan and specific tactics to meet plan needs and ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Ability to communicate in a highly effective manner with internal and external constituents in both written and oral format. Accountable for meeting the clinical operational and quality objectives of the unit. Consistently demonstrates the ability to serve as a model change agent and lead change efforts. Accountable for maintaining compliance with policies and procedures and implements them at the employee level. Develops and implements processes and resources for providing support to members who opt out of care coordination. Ensures care management/care coordination and disease management are part of population health and quality improvement activities Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes. Required Qualifications Oklahoma resident Active, unrestricted clinical licensure (RN or Behavioral Health as outlined below). 5+ years of clinical practice which includes a strong behavioral healthcare focus 3 years’ experience managing direct reports 2 years’ experience in a managed care organization supporting Medicaid, Medicare, or Commercial plan members Case management experience Strong BH background with a focus on decreasing BH inpatient admissions and BH ED Utilization Knowledge of the regulations, standards, and policies which relate to medical management Successful completion of the Behavioral Health Case Manager certification training provided through the Department of Mental Health and Substance Abuse Services within 6 month of hire date 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications Ability to maintain a work schedule aligned to Central Time Zone business hours, including two shifts per week ending at 9:00 p.m Education & Licensure If Registered Nurse: Master’s degree or equivalent experience required (BSN preferred). Active, unrestricted Oklahoma nursing license Behavioral Health experience If Behavioral Health: Master’s degree in a field leading to independent Behavioral Health licensure Current unencumbered behavioral health clinical license (e.g. LPC, LMFT, LBP, LCSW, LADC) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $78,331.00 - $168,714.00 This 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. Our 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. Great benefits for great people We 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: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
$99,420 - $214,137 / YEAR
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Director of Care Management is a key member of the Aetna Better Health of Oklahoma leadership team. This role oversees the implementation and execution of the strategic and operational business plan for clinical operations. The Director ensures compliance with Oklahoma regulatory requirements while delivering holistic, cost-effective, bio-psychosocial care to members through care management and coordination services. The Director Case Management reports to the Senior Principal Clinical Leader. This is a fully remote role but may require onsite meetings. Eligible candidates must live within a one-hour commute to Oklahoma City. Position Responsibilities Lead the clinical team to ensure timely health risk screenings, comprehensive assessments, care plan development, and member interventions in alignment with Aetna Better Health Risk Stratification Framework and Oklahoma contractual requirements. Develop and manage clinical operations to improve clinical and financial outcomes, member engagement, satisfaction, and adherence to best practices and standards. Serve as liaison with regulatory and accrediting agencies and other health business units. Formulate and implement strategies to achieve departmental metrics and provide operational direction. Integrate care coordination and case management with core business functions, including claims, member services, compliance, quality, utilization management, and provider services. Support quality improvement initiatives and oversee successful implementation. Direct enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency. Develop and evaluate policies and procedures to meet business needs. Implement and monitor business plans and oversee transitions impacting clinical operations. Collaborate with internal teams and corporate areas to ensure workflow processes and interdependencies are addressed. Analyze program performance and clinical outcomes to inform decision-making. Promote a clear vision aligned with company values; set challenging objectives and motivate teams to achieve results. Communicate effectively with internal and external stakeholders in both written and oral formats. Evaluate and interpret data to monitor staff performance, ensure regulatory compliance, and develop new programs and processes. Assess team development needs and implement action plans to build high-performing teams. Conduct administrative duties in accordance with established standards for team management. Required Qualifications Active and unrestricted Oklahoma Registered Nurse (RN) license Minimum 10 years of clinical practice experience At least 5 years of management or clinical leadership, including oversight of case management leaders 5 years of case management experience Managed care experience (Medicaid strongly preferred; commercial or Medicare experience acceptable) 3+ years of proficiency with personal computer use, keyboard navigation, and MS Office Suite Nationally recognized case management certification (required or must be obtained within 90 days of employment) Education Master’s degree or equivalent experience (BSN preferred) Pay Range The typical pay range for this role is: $99,420.00 - $214,137.00 This 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. This position also includes an award target in the company’s equity award program. Our 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. Great benefits for great people We 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: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 02/07/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
