Field-Based RN Case Manager - Coordinated Care Expert

CVS Health Corporation; Richmond (VA); Hybrid; USD 61,000 - 130,000; Full time

Job summary

CVS Health Corporation in Virginia seeks a field-based RN Nurse Case Manager to coordinate patient-centered care for members in the Winchester area. The role blends in-person visits and telephonic outreach, supporting care plans and referrals.

You will assess needs, develop plans, and collaborate with providers to improve outcomes, while traveling and using multiple documentation platforms. Requires VA RN license and 3+ years of nursing experience.

Qualifications

• Active, unrestricted RN license in Virginia
• Residence in Winchester or surrounding Virginia areas
• Willingness to travel up to 75% with mileage reimbursement
• 3+ years of clinical nursing experience (medical-surgical, acute, 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 members' medical, behavioral, and social needs
• Develop and implement personalized care plans to promote short- and long-term wellness
• Coordinate care across providers, programs, and services for a seamless member experience
• Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention
• Support members with complex 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 to build trust and encourage active participation
• Ensure all case management activities comply with regulatory guidelines

Skills

RN license

Residence in Winchester area

Travel up to 75%

Clinical nursing experience 3+ years

Strong communication

Organizational skills

Critical thinking

Technology/documentation proficiency

Education

Associate Degree in Nursing

BSN preferred

Job description

CVS Health Corporation in Virginia seeks a field-based RN Nurse Case Manager to coordinate patient-centered care for members in the Winchester area. The role blends in-person visits and telephonic outreach, supporting care plans and referrals.

You will assess needs, develop plans, and collaborate with providers to improve outcomes, while traveling and using multiple documentation platforms. Requires VA RN license and 3+ years of nursing experience.