Case Manager RN - Field in Winchester, VA | New Hire Bonus Available

4004 Aetna Medicaid Administrators; Virginia; On-site; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a Registered Nurse Case Manager for a field-based role serving Winchester, VA and surrounding areas. The RN will conduct assessments, develop care plans, and coordinate care across providers, blending in-person visits with telephonic outreach to deliver patient-centered care.

Candidates must have an active VA RN license, be willing to travel up to 75%, and possess 3+ years of clinical nursing experience. A BSN is preferred; bilingual skills are a plus.

Qualifications

• Active, unrestricted RN license in Virginia.
• Residence in Winchester or surrounding Virginia areas.
• Willingness to travel up to 75% with mileage reimbursed.
• 3+ years of clinical nursing experience (medical-surgical, acute care, or behavioral health).
• Strong communication, organization, and critical-thinking skills.
• Comfort working with technology and multiple documentation platforms.

Responsibilities

• Conduct comprehensive assessments (telephonic and face-to-face) to evaluate medical, behavioral, and social needs.
• Develop and implement personalized care plans that promote short- and long-term wellness.
• Coordinate care across providers, programs, and services to ensure a seamless member experience.
• Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention.
• Support members with complex or multiple conditions using a holistic approach.
• Facilitate referrals to clinical and community resources.
• Participate in case conferences and collaborate with multidisciplinary teams.
• Review claims history and benefit eligibility to inform care planning.
• Engage members with strong interviewing skills to build trust and participation.
• Ensure all case management activities comply with guidelines.

Skills

RN license

Travel up to 75%

Clinical nursing

Communication

Technology literacy

Bilingual (English/Spanish)

Residence in Winchester, VA area

Education

Associate Degree in Nursing

BSN (preferred)

Tools

Electronic health records

Job description

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-Based Location: Winchester & Surrounding areas, VA

Position Overview

We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Annandale, Springfield, 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.

Schedule: Monday-Friday, 8:00 AM - 5:00 PM EST. Location Requirement: Candidates must currently reside in the Annandale/Springfield area.

What You’ll Do

• 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

Required Qualifications

• Active, unrestricted Registered Nurse (RN) license in Virginia
• Residence in Winchester, or surrounding 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

Preferred Qualifications

• 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

Education

• Associate Degree in Nursing (required)
• Bachelor of Science in Nursing (BSN) (preferred)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $60,522.00 - $129,615.00. This 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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/31/2026.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.