Field-Based RN Case Manager: Elevate Care Coordination

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Northern Virginia seeks a compassionate Registered Nurse Case Manager to coordinate care for members through a mix of in-person visits and telephonic outreach.

In this full-time field-based role, you will assess needs, develop care plans, collaborate with providers, review claims, and guide members through their care with a whole-person approach. Travel up to 75% is required.

Qualifications

• Active, unrestricted RN license in Virginia.
• Residence in Northern Virginia.
• Must travel up to 75% with mileage reimbursed.
• 3+ years of clinical nursing experience.
• Strong communication, organization, and critical-thinking skills.
• Comfort working with multiple systems and 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 wellness.
• Coordinate care across providers and services for a seamless member experience.
• Use data insights to identify risks 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 teams to optimize care.
• Review claims history and benefit eligibility to inform care planning.
• Engage members to encourage participation in their care.
• Ensure all activities comply with regulatory and organizational guidelines.

Skills

RN license in VA

Excellent communication

Organization

Critical thinking

Travel ready

Tech-savvy

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (BSN)

Job description

CVS Health in Northern Virginia seeks a compassionate Registered Nurse Case Manager to coordinate care for members through a mix of in-person visits and telephonic outreach.

In this full-time field-based role, you will assess needs, develop care plans, collaborate with providers, review claims, and guide members through their care with a whole-person approach. Travel up to 75% is required.