Registered Nurse Case Manager - Field in Fairfax, Sterling, Reston, Ashburn and surrounding areas.
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. RN Nurse Case Manager – Field- Location: Northern Virginia: Fairfax, Sterling, Reston, Ashburn and surrounding Virginia Areas Schedule: Mon-Fri 8:00-5:00 PM EST Travel: Up to75% Position Overview: We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Fairfax, Sterling, Reston, Ashburn and surrounding areas of Virginia. This is a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care.
Requirements
- Active, unrestricted Registered Nurse (RN) license in Virginia
- Residence in Fairfax, Sterling, Reston and Ashburn and surrounding Northern Virginia areas
- 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, particularly within an integrated care model
- Bilingual (English/Spanish)
- Experience working with youth with mental health diagnoses
- 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
