Compassionate Field-Based RN Case Manager – VA

4004 Aetna Medicaid Administrators; Virginia; Sur place; USD 61 000 - 130 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

RN license

Travel up to 75%

Clinical nursing

Communication

Technology literacy

Bilingual (English/Spanish)

Residence in Winchester, VA area

Formation

Associate Degree in Nursing

BSN (preferred)

Outils

Electronic health records

Description du poste

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.