RN Case Manager (Field-Based) - Northern VA

CVS Health; Fairfax (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 RN Case Manager to support Fairfax, Sterling, Reston, Ashburn and surrounding Virginia communities. This field-based role blends in-person visits with telephonic outreach to coordinate patient-centered care.

You will assess needs, develop care plans, coordinate across providers, and support members with complex conditions while reviewing claims history to inform care planning.

Qualifications

• Active, unrestricted RN license in Virginia.
• Residence in Fairfax, Sterling, Reston, Ashburn and surrounding Northern Virginia areas.
• Willingness and ability to travel up to 75% (mileage reimbursed).
• 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 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 to ensure a seamless experience for members.
• Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention.
• Support members with complex or multiple conditions with 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 interviewing skills to build trust and promote active participation.
• Ensure all case management activities comply with regulatory and organizational guidelines.

Skills

Communication skills

Organization

Critical thinking

Technology literacy

Education

Associate Degree in Nursing

BSN preferred

Job description

CVS Health is seeking a compassionate RN Case Manager to support Fairfax, Sterling, Reston, Ashburn and surrounding Virginia communities. This field-based role blends in-person visits with telephonic outreach to coordinate patient-centered care.

You will assess needs, develop care plans, coordinate across providers, and support members with complex conditions while reviewing claims history to inform care planning.