Case Manager Registered Nurse - Field in Winchester & surrounding areas, VA

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.

About the role

We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Winchester, Annandale, Springfield, and surrounding areas of Virginia. This is a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care.

Candidates must currently reside in the Winchester or surrounding Virginia areas.

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

Requirements

• Active, unrestricted Registered Nurse (RN) license in Virginia
• Residence in Winchester or surrounding Virginia areas
• Reliable transportation and willingness to travel up to 75% of the time (mileage reimbursed)
• 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

Qualifications

• Associate Degree in Nursing (required)
• Bachelor of Science in Nursing (BSN) (preferred)

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

Schedule

• Monday–Friday, 8:00 AM – 5:00 PM EST
• 40 hours per week
• Full time

Pay

The typical pay range for this role is $60,522.00 - $129,615.00 annually. This range represents the base salary and may vary based on experience, education, geography, and other relevant factors. This position is also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay.

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, including:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources