Registered Nurse Case Manager - Field in Fairfax, Sterling, Reston, Ashburn and surrounding areas.
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.
About the Role
We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Fairfax, Sterling, Reston, Ashburn 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.
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 Fairfax, Sterling, Reston, Ashburn, or surrounding Northern 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
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 position
Pay
The typical pay range for this role is $60,522.00 - $129,615.00 annually. This range represents the base salary for all positions in the job grade. The actual base salary offer will depend on factors including experience, education, geography, and other relevant considerations. This position is also 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, including:
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs and other resources
Additional details about available benefits are provided during the application process and on Benefits Moments.