Registered Nurse Case Manager - Field in Northern Virginia

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.

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
• Carefully coordinate care across providers, programs, and services to ensure a seamless experience for members
• Apply 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 Northern Virginia in one of the above mentioned locations
• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement 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, care coordination and/or managed care organizations
• Discharge Planning and/or transition of care experience
• Bilingual (English/Spanish)

Skills

Not specified

Benefits

The typical pay range for this role is $60,522.00 - $129,615.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including 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 listed above.

Pay

The typical pay range for this role is $60,522.00 - $129,615.00

Schedule

Monday–Friday, 8:00 AM – 5:00 PM EST