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

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

Job summary

A leading health solutions company seeks a Case Manager Registered Nurse to coordinate case management activities in the Tidewater Region of Virginia. The role involves evaluating member needs, developing wellness strategies, and compliance oversight. Ideal candidates will have RN licensure, several years of clinical and case management experience, and strong communication skills. This full-time position supports wellness through face-to-face engagement and offers competitive compensation and benefits package.

Benefits

Affordable medical plan options

401(k) with matching contributions

Employee stock purchase plan

Wellness screenings and counseling programs

Flexible work schedules and paid time off

Qualifications

• Must have active RN Licensure in Virginia
• 3+ years of clinical practice as an RN required
• 2+ years of Case Management experience required
• Reliable transportation and willingness to travel.

Responsibilities

• Coordinates case management activities to evaluate members' medical needs
• Develops strategies to enhance member wellness
• Ensures compliance with organization and regulatory requirements

Skills

Organizational skills

Multitasking

Effective communication

Problem-solving

Education

Associates degree in nursing or RN diploma

Bachelor's of Science and Nursing (preferred)

Tools

MS Office Suite (Teams, Outlook, Word, Excel)

Job description

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

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

3 days ago Be among the first 25 applicants

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

• Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members.
• Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.
• Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans.
  
  

Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues.

• Handles reviews of prior claims to address potential impact on current case management and eligibility.
• Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality.
• Ensures case management processes follow organization and regulatory requirements.
• Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions.
• Coaches and trains junior colleagues in techniques, processes, and responsibilities
  
  

Required Qualifications

• Must have an active, current, and unrestricted RN Licensure in Virginia
• 3+ years clinical practice experience as an RN required
• 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• 2+ years of Case Management experience
• Must reside in the Tidewater Region of Virginia
• Must possess reliable transportation and be willing and able to travel up to 25-50% of the time to meet members face to face in the Tidewater Region of VA. Mileage is reimbursed per our company expense reimbursement policyPreferred Qualifications
• Ability to organize, multitask, prioritize and effectively adapt to a fast-paced changing environment.
• Basic awareness of problem solving and decision making skills
• Effective communication skills, both verbal and writtenEducation
• Associates degree in nursing or RN diploma required
• Bachelor's of Science and Nursing preferred Anticipated Weekly Hours
  
  

40Time Type

Full timePay Range

The typical pay range for this role is:$60,522.00 - $129,615.00This 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 07/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Technology, Information and Internet

Referrals increase your chances of interviewing at The Muse by 2x

Sign in to set job alerts for “Case Management Nurse” roles.

Correctional Registered Nurse **Up to a $2,000 Sign On Bonus

Registered Nurse (RN) - OB/GYN Outpatient Clinic

Registered Nurse - Pediatric Behavioral Health

Hampton, VA $59,640.00-$100,990.00 4 months ago

RN (Registered Nurse) - Post-Surgery Unit

Hampton, VA $59,640.00-$100,990.00 4 months ago

Elementary School Registered Nurse - $2,022 per week

Newport News, VA $2,021.40-$2,021.40 2 weeks ago

Hampton, VA $59,640.00-$100,990.00 4 months ago

School Registered Nurse - $2,194 per week

Newport News, VA $2,193.00-$2,193.00 2 weeks ago

Newport News, VA $59,640.00-$100,990.00 5 months ago

Newport News, VA $59,640.00-$100,990.00 5 months ago

Registered Nurse, Corrections - $33/hr - $42.30/hr

Registered Nurse - Clinical Nurse Educator

Newport News, VA $59,640.00-$100,990.00 1 month ago

Case Manager I - Psychosocial Rehabilitation Services

Norfolk, VA $41,231.00-$47,415.00 3 days ago

Newport News, VA $59,640.00-$100,990.00 1 month ago

Elementary School Registered Nurse - $2,126 per week

Newport News, VA $2,125.00-$2,125.00 2 weeks ago

Portsmouth, VA $82,660.00-$158,835.00 1 week ago

Norfolk, VA $1,826.87-$1,826.87 1 week ago

Registered Nurse - Skilled Nursing Facility

Newport News, VA $59,640.00-$100,990.00 5 months ago

School Registered Nurse - $2,022 per week

Newport News, VA $2,021.40-$2,021.40 2 weeks ago

Smithfield, VA $59,640.00-$100,990.00 1 month ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.