Registered Nurse Case Manager - Field in Northern Virginia
About The Position
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. Position Summary: Registered Nurse Case Manager – Field Northern Virginia Location Specifics: Fairfax County, and surrounding areas with preference for those in Fairfax, Alexandria, Arlington, Annandale, McLean, Vienna, Falls Church, Herndon, Reston, Sterling and Springfield. We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting Northern Virginia. This is a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care. Schedule: Monday–Friday, 8:00 AM – 5:00 PM EST
Requirements
- Active, unrestricted Registered Nurse (RN) license in Virginia
- Residence in Northern Virginia in one of the above mentioned locations
- Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
- 3+ years of clinical nursing experience (e.g., medical-surgical, acute care, or behavioral health)
- Strong communication, organization, and critical-thinking skills
- Comfort working with technology, including multiple systems and documentation platforms
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
Responsibilities
- Conduct comprehensive assessments (telephonic and face-to-face) to evaluate members’ medical, behavioral, and social needs
- Develop and implement personalized care plans that promote both short- and long-term wellness
- Coordinate care across providers, programs, and services to ensure a seamless experience for members
- Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention
- Support members with complex or multiple conditions by applying 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 strong interviewing skills to build trust and encourage active participation in their care
- Ensure all case management activities comply with regulatory and organizational guidelines
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
