Field-Based RN Case Manager - Coordinated Care Leader

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a compassionate Registered Nurse Case Manager to support members in Northern Virginia, including Ashburn, Reston and surrounding areas. This field-based role blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care.

You will assess needs, create personalized care plans, coordinate across providers, and leverage data to improve outcomes while traveling up to 75%. A strong nursing background and tech comfort are essential.

Qualifications

• Active, unrestricted RN license in Virginia
• Residence in Fairfax, Sterling, Reston, Ashburn and surrounding Northern Virginia areas
• Travel up to 75% of the time; mileage reimbursed per policy
• 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

Responsibilities

• Conduct comprehensive assessments (telephonic and face-to-face) to evaluate members' 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 for a seamless member experience
• Identify risks, gaps in care, and opportunities for intervention using clinical data
• Support members with complex conditions using a whole-person approach
• Facilitate referrals to clinical and community resources
• Participate in case conferences and collaborate with multidisciplinary teams
• Review claims history and eligibility to inform care planning
• Engage members to encourage active participation in their care
• Ensure compliance with regulatory and organizational guidelines

Skills

Strong communication

Organization

Critical thinking

Technology literacy

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (BSN)

Job description

CVS Health is seeking a compassionate Registered Nurse Case Manager to support members in Northern Virginia, including Ashburn, Reston and surrounding areas. This field-based role blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care.

You will assess needs, create personalized care plans, coordinate across providers, and leverage data to improve outcomes while traveling up to 75%. A strong nursing background and tech comfort are essential.