Case Manager Registered Nurse / Licensed Practical Nurse (Field – Must reside in Danville Virgi[...]

CVS Health; Danville (VA); On-site; USD 65,000 - 85,000; Full time

Job summary

CVS Health is seeking a Case Manager Registered Nurse / Licensed Practical Nurse in Danville, Virginia. This full-time role involves assessing and coordinating care for members, requiring strong clinical judgment and communication skills. Candidates must have Virginia licensure and relevant clinical experience, with a commitment to improving member health outcomes.

Benefits

Travel reimbursement

Qualifications

• Virginia licensure (LPN/RN/BH) required.
• Minimum 3 years clinical experience (med-surg, behavioral health).
• At least 2 years managed care experience.

Responsibilities

• Assess, plan, implement, and coordinate case management activities.
• Conduct comprehensive assessments and review prior claims.
• Collaborate with a multidisciplinary team to meet member needs.

Skills

Clinical judgment

Communication

Multitasking

Education

Associates Degree in Nursing

Job description

Case Manager Registered Nurse / Licensed Practical Nurse (Field – Must reside in Danville Virginia or Surrounding Areas)

Join CVS Health as a Case Manager Registered Nurse / Licensed Practical Nurse in the field, residing in Danville, Virginia, or surrounding areas.

Job Overview

The Nurse Case Manager assesses, plans, implements, and coordinates case management activities to evaluate members' medical needs and promote overall wellness. Responsibilities include developing proactive strategies, evaluating clinical data, facilitating program transitions, applying clinical judgment to reduce risk factors, and addressing complex health and social issues. The role involves conducting comprehensive assessments, reviewing prior claims, and collaborating with a multidisciplinary team to meet member needs effectively.

Qualifications

• Virginia licensure (LPN/RN/BH) required
• Minimum 3 years clinical experience (med-surg, behavioral health)
• At least 2 years managed care experience
• Reside in Danville, VA or surrounding areas
• Reliable transportation and willingness to travel up to 70%
• Valid driver’s license

Preferred Qualifications

• Case management experience in an integrated model
• Bilingual abilities
• 5+ years clinical practice
• Strong multitasking and communication skills
• Associates Degree in Nursing

Additional Information

Full-time position, 40 hours/week, with travel reimbursement. Requires effective communication, computer proficiency, and adaptability to a fast-paced environment.