Field-Based RN Case Manager: Care Coordination Champion

CVS Health Corporation; Annandale (VA); Ibrido; USD 61.000 - 130.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits

Bonus/short-term incentive program

Descrizione del lavoro

CVS Health Corporation in Northern Virginia is seeking a compassionate Registered Nurse Case Manager to join our team. This field-based role blends in-person visits with telephonic outreach to coordinate patient-centered care.

You will conduct assessments, develop care plans, coordinate across providers, review claims and eligibility, and ensure compliance with regulations. Minimum 3+ years nursing experience and VA RN license required; travel up to 75% and a 40-hour work week.

Competenze

• Active, unrestricted RN license in Virginia.
• Is willingness to travel up to 75% with mileage reimbursement.
• Minimum 3 years of clinical nursing experience required.
• Strong communication and organizational skills.
• Comfort using multiple systems and documentation platforms.

Mansioni

• Conduct comprehensive assessments (telephonic and in person) of members' medical, behavioral, and social needs.
• Develop and implement personalized care plans to support short- and long-term wellness.
• Coordinate care across providers and services for a seamless member experience.
• Identify risks and gaps in care using clinical judgment and data insights.
• Support members with complex conditions using a holistic approach.
• Facilitate referrals to clinical and community resources.
• Participate in case conferences with multidisciplinary teams.
• Review claims history and benefit eligibility to inform care planning.
• Engage members to encourage active participation in care while ensuring regulatory compliance.

Conoscenze

RN license Virginia

Nursing experience

Communication skills

Travel up to 75%

Technology proficiency

Formazione

Associate Degree in Nursing

BSN preferred

Strumenti

Electronic Health Records

Descrizione del lavoro

CVS Health Corporation in Northern Virginia is seeking a compassionate Registered Nurse Case Manager to join our team. This field-based role blends in-person visits with telephonic outreach to coordinate patient-centered care.

You will conduct assessments, develop care plans, coordinate across providers, review claims and eligibility, and ensure compliance with regulations. Minimum 3+ years nursing experience and VA RN license required; travel up to 75% and a 40-hour work week.