Field-Based RN Case Manager – Impactful Care

CVS Health; Virginia (MN); On-site; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a compassionate RN Case Manager to join our field-based team serving Winchester, VA and surrounding areas. This role blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care for members.

You'll conduct comprehensive assessments, develop personalized care plans, coordinate across providers, and use data insights to close gaps in care. A Virginia RN license and 3+ years of nursing experience are required.

Qualifications

• Active, unrestricted RN license in Virginia
• Residence in Winchester or surrounding Virginia areas
• 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 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 or multiple conditions with 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 in care
• Ensure all case management activities comply with regulatory and organizational guidelines

Skills

Communication

Organization

Critical thinking

Tech proficiency

Travel readiness

Education

Associate Degree in Nursing

BSN preferred

Job description

CVS Health is seeking a compassionate RN Case Manager to join our field-based team serving Winchester, VA and surrounding areas. This role blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care for members.

You'll conduct comprehensive assessments, develop personalized care plans, coordinate across providers, and use data insights to close gaps in care. A Virginia RN license and 3+ years of nursing experience are required.