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Job description
About This Role
The Registered Nurse Case Manager will support members in the Fairfax, Sterling, Reston, Ashburn, and surrounding areas of Virginia. This field-based role combines in-person visits with telephonic outreach to deliver coordinated, patient-centered care.
Highlights
Pay: $60,522.00 - $129,615.00
Location: Fairfax, VA
Schedule: Full-time, Mon-Fri 8:00-5:00 PM EST
Travel: Up to 75%
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.
Requirements
Education:
Associate Degree in Nursing (required)
Bachelor of Science in Nursing (BSN) (preferred)
Experience:
3+ years of clinical nursing experience (e.g., medical-surgical, acute care, or behavioral health)
Licenses & Certifications:
Active, unrestricted Registered Nurse (RN) license in Virginia
Benefits
Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs and other resources
About CVS Health
CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They prioritize safety and quality in everything they do, fostering a workplace where every colleague feels valued and that they belong.
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Worksite address
fairfax station, VA, 22039, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.