Field-Based RN Case Manager: Care Coordination

CVS Health Corporation; McLean (VA); On-site; USD 61,000 - 130,000; Full time

Job summary

CVS Health Corporation in Northern Virginia is seeking a compassionate Registered Nurse Case Manager for a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care. The position requires an active Virginia RN license and up to 75% travel within the Northern Virginia area.

The role involves conducting comprehensive assessments, developing personalized care plans, coordinating across providers, and ensuring care is holistic and compliant

Qualifications

• Active, unrestricted RN license in Virginia.
• Residence in Northern Virginia.
• Willingness to travel up to 75% of the time.

Responsibilities

• Coordinate care across members, providers, and services.
• Develop personalized care plans for short- and long-term wellness.
• Conduct comprehensive assessments (telephonic and face-to-face).
• Identify risks and gaps in care using clinical data.
• Support complex cases with holistic care approach.
• Facilitate referrals to clinical and community resources.
• Participate in case conferences with multidisciplinary teams.
• Review claims history and benefit eligibility to inform planning.
• Engage members to encourage active participation in care.
• Ensure compliance with regulatory and organizational guidelines.

Skills

RN license Virginia

75% travel

3+ years clinical nursing

Strong communication

Tech savvy

Education

Associate Degree in Nursing

BSN preferred

Job description

CVS Health Corporation in Northern Virginia is seeking a compassionate Registered Nurse Case Manager for a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care. The position requires an active Virginia RN license and up to 75% travel within the Northern Virginia area.

The role involves conducting comprehensive assessments, developing personalized care plans, coordinating across providers, and ensuring care is holistic and compliant