Field-Based RN Case Manager — Coordinated Care Expert

Hispanic Alliance for Career Enhancement; Winchester (VA); Hybrid; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a compassionate Registered Nurse Case Manager to support members in Virginia with field-based visits and telephonic outreach. This full-time role blends in-person care with remote coordination, requiring residency in the Winchester area and travel up to 75%.

You will assess medical, behavioral, and social needs, develop personalized care plans, coordinate services, review eligibility, and collaborate with multidisciplinary teams to improve outcomes while ensuring regulatory

Qualifications

• Active, unrestricted RN license in Virginia.
• Residence in Winchester or surrounding VA area.
• Willing to travel up to 75% with mileage reimbursed.
• 3+ years of clinical nursing experience.
• 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 for short- and long-term wellness.
• Coordinate care across providers, programs, and services to ensure a seamless experience.
• 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.

Skills

RN license (VA)

Travel up to 75%

Communication

Organization

Critical thinking

Tech proficiency

Education

Associate Degree in Nursing

BSN preferred

Job description

CVS Health is seeking a compassionate Registered Nurse Case Manager to support members in Virginia with field-based visits and telephonic outreach. This full-time role blends in-person care with remote coordination, requiring residency in the Winchester area and travel up to 75%.

You will assess medical, behavioral, and social needs, develop personalized care plans, coordinate services, review eligibility, and collaborate with multidisciplinary teams to improve outcomes while ensuring regulatory