Case Manager Registered Nurse (Field Must reside in Tidewater Region Virginia)

The Muse; Suffolk (VA); On-site; USD 60,000 - 130,000; Full time

Job summary

A leading health solutions company is seeking a Nurse Case Manager based in Tidewater Region Virginia. This role involves assessing, planning, and coordinating case management activities for members, ensuring their medical needs are met while facilitating overall wellness. Candidates should possess a Virginia LPN or RN license and significant clinical experience. This position offers competitive salary and benefits, along with opportunities for career growth.

Benefits

Comprehensive medical plans

401(k) with match

Paid time off

Flexible schedules

Tuition assistance

Qualifications

• Virginia LPN, RN, or BH license (current and unrestricted).
• At least 3 years of clinical experience (Medical-Surgical, Behavioral Health, Long-term Care).
• Minimum 1 year of Managed Care experience.

Responsibilities

• Assess, plan, and coordinate all case management activities with members.
• Develop proactive strategies to address issues and facilitate wellness.
• Collaborate with multidisciplinary teams to meet member needs.

Skills

Clinical experience

Proficiency with computer systems

Communication skills

Bilingual in English/Spanish

Education

Associate's Degree in Nursing

Bachelor's Degree in Science & Nursing

Job description

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

This Case Manager Registered Nurse position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based role based in the Tidewater Region Virginia, specifically the Norfolk Area. Candidates must hold a Virginia LPN, RN, or BH License and be willing to travel 50-75% of the time to meet with members face-to-face.

Typical office environment with productivity and quality expectations. Work involves close inspection of handwritten and computer-generated documents, as well as working at a PC monitor. It requires sitting for extended periods, talking on the telephone, and typing on the computer.

The Nurse Case Manager is responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate overall wellness. This includes developing proactive strategies to address issues, utilizing clinical tools, reviewing data, and ensuring smooth transitions to Aetna programs. The role involves applying clinical judgment to reduce risk factors, address complex health and social indicators, and coordinate care plans that consider co-morbidities and functional status. Collaboration with supervisors and multidisciplinary teams is essential to overcome barriers and meet member needs.

Required Qualifications

• Reside in Tidewater Region Virginia, specifically the Norfolk Area
• Possess reliable transportation and be willing to travel up to 75% of the time (mileage reimbursed)
• Virginia LPN, RN, or BH license (current and unrestricted)
• At least 3 years of clinical experience (e.g., Medical-Surgical, Behavioral Health, Long-term Care)
• Minimum 1 year of Managed Care experience
• Proficiency with computer systems and keyboarding skills

Preferred Qualifications

• Case Management experience in an integrated model (preferably 5+ years of clinical practice)
• Effective verbal and written communication skills
• Bilingual in English/Spanish

Education

• Associate's Degree in Nursing required
• Bachelor's Degree in Science & Nursing preferred

Additional Details

Anticipated weekly hours: 40

Time type: Full-time

Pay range: $60,522.00 - $129,615.00, depending on experience, education, and location. The role may include bonuses or incentive programs.

Benefits

• Comprehensive medical plans, 401(k) with match, stock purchase plan
• Wellness programs, counseling, financial coaching
• Paid time off, flexible schedules, family leave, tuition assistance, and more

For more information, visit CVS Benefits. The application window closes on 06/30/2025. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.