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4004 Aetna Medicaid Administrators

Case Manager Registered Nurse - Field in Tidewater, Newport News, Hampton or Williamsburg VA

virginia, MN

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Job description

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. RN Nurse Case Manager – Field-Based Location: Tidewater, Newport News, Hampton, Williamsburg VA Position Overview: We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the 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.

Schedule

Monday–Friday, 8:00 AM – 5:00 PM EST

What You’ll Do

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 and Williamsburg Virginia areas

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

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)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

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.

Benefits

medical, dental, and vision coverage

paid time off

retirement savings options

wellness programs

other resources

The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 09/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

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Worksite address

virginia, MN, 55792, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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