Case Manager Registered Nurse - Field in Tidewater, Newport News, Hampton or Williamsburg VA
About the role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Location
Field‑Based – Tidewater, Newport News, Hampton, Williamsburg, VA (supporting members in Annandale, Springfield, and surrounding areas of Virginia).
Schedule
Monday–Friday, 8:00 AM – 5:00 PM EST
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 both 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 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.
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license in Virginia.
- Residence in Tidewater, Newport News, Hampton, or Williamsburg, Virginia areas.
- Reliable transportation and willingness to travel up to 75% of the time (mileage reimbursed per company policy).
- 3+ years of clinical nursing experience (e.g., medical‑surgical, acute care, or behavioral health).
- Strong communication, organization, and critical‑thinking skills.
- Comfort working with technology, including multiple systems and documentation platforms.
Preferred Qualifications
- Experience in case management, particularly within an integrated care model.
- Bilingual (English/Spanish).
- Experience working with youth with mental health diagnoses.
- Ability to thrive in a fast‑paced, dynamic environment and manage multiple priorities effectively.
Education
- Associate Degree in Nursing (required).
- Bachelor of Science in Nursing (BSN) (preferred).
Pay
The typical pay range for this role is $60,522.00 – $129,615.00 (base hourly rate or base annual full‑time salary). The actual base salary offer will depend on experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short‑term incentive program in addition to the base pay range.
Benefits
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details are provided during the application process.
Application window closes on 09/30/2026.