Registered Nurse Case Manager - Field in Fairfax, Sterling, Reston, Ashburn and surrounding areas.

CVS Health is seeking a Registered Nurse Case Manager to provide field-based care coordination in Northern Virginia. In this role, you will support members across Fairfax, Sterling, Reston, Ashburn, and surrounding areas through a combination of in-person visits and telephonic outreach, delivering coordinated, patient-centered care that addresses medical, behavioral, and social needs.

Responsibilities

• Conduct comprehensive assessments through both telephonic and face-to-face interactions to evaluate members' 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 seamless member experience
• Use clinical expertise and data insights to identify risks, gaps in care, and intervention opportunities
• Support members with complex or multiple conditions using 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 Fairfax, Sterling, Reston, Ashburn, and surrounding Northern Virginia areas
• Reliable transportation and willingness to travel up to 75% of the time; mileage is reimbursed per company policy
• 3 or more years of clinical nursing experience in 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 capability (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)

Schedule

• Monday through Friday, 8:00 AM to 5:00 PM EST
• Full-time position, 40 anticipated weekly hours
• Up to 75% travel required

Compensation and Benefits

• Pay range: $60,522.00 to $129,615.00 annually
• Eligible for CVS Health bonus, commission, or short-term incentive program in addition to base pay
• Comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs
• Benefits eligibility based on position classification and individual circumstances