Case Manager RN - Field in Northern Virginia- New Hire Bonus Available
About The Position
CVS Health is seeking a compassionate and motivated Registered Nurse Case Manager to support members in Northern Virginia. This field-based role combines in-person visits with telephonic outreach to provide coordinated, patient-centered care and improve members’ health and well-being. The role involves coordinating care, removing barriers, supporting better outcomes, and applying a holistic, whole-person approach for members with complex or multiple conditions. The schedule is Monday through Friday, 8:00 AM–5:00 PM EST, with 40 anticipated weekly hours. Travel may be required up to 75% of the time, and mileage is reimbursed under the company expense reimbursement policy.
Requirements
- Active, unrestricted Registered Nurse (RN) license in Virginia.
- Residence in Northern Virginia in one of the locations referenced in the posting.
- Reliable transportation and willingness and ability to travel up to 75% of the time.
- At least 3 years of clinical nursing experience, such as medical-surgical, acute care, or behavioral health.
- Strong communication, organization, and critical-thinking skills.
- Comfort working with technology, including multiple systems and documentation platforms.
- Associate Degree in Nursing.
Nice To Haves
- Experience in case management, care coordination, and/or managed care organizations.
- Discharge planning and/or transition-of-care experience.
- Bilingual English/Spanish.
- Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.
- Bachelor of Science in Nursing (BSN).
Responsibilities
- Conduct comprehensive telephonic and face-to-face assessments of members’ medical, behavioral, and social needs.
- Develop and implement personalized care plans that promote short- and long-term wellness.
- Coordinate care across providers, programs, and services to provide a seamless member experience.
- Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention.
- Support members with complex or multiple conditions using a holistic, whole-person approach.
- Facilitate referrals to appropriate clinical and community resources.
- Participate in case conferences and collaborate with multidisciplinary teams to optimize care strategies.
- Review claims history and benefit eligibility to inform care planning.
- Engage members using interviewing skills to build trust and encourage active participation in their care.
- Ensure case management activities comply with regulatory and organizational guidelines.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- Eligible for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
