Case Manager Registered Nurse - Field in Pittsylvania and Campbell Counties, VA

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Must Reside in the vicinity of Pittsylvania and Campbell Counties Virginia

Position Summary:

Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long- term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. 

Required Qualifications"

• RN with current unrestricted Virginia state licensure required. 

• 3 years clinical experience (med surg, behavioral health)

• 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

Work Location:

This role requires work at home as well as field based work environments. Typical office working environment with productivity and quality expectations. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.

• Candidate will work from home (WAH) out of their residence in VA

• Have reliable phone and hard-wired internet service.

• Work schedules are determined by the Leader based on business needs and are not affected by the work model or location. Mon-Fri 8-5 PM EST

• Colleagues must be reachable via phone, videoconference, and email during work hours (8 Hours per Day) as directed by their Leader.

• Personal responsibilities, including dependent care, must not interfere with work duties. Dependent care during work hours is generally not allowed.

• Be secure and private to maintain confidentiality (HIPAA compliant).

• Meet any additional reasonable requirements set by the Leader or Company.

• A field-based Colleague regularly works in multiple company locations. Those locations may include company locations, client locations, facilities (nursing home, rehabilitation centers, etc.), member homes, and/or community locations.

Preferred Qualifications:

• Case management and discharge planning experience

• Managed Care experience

 
Education:

• Associates Degree In Nursing Required.

• Prefer a BSN

Technological Skills:

• Proficient in Multisystem Navigation: Comfortable using multiple monitors and systems simultaneously to streamline tasks and improve efficiency.

• Effective Multitasker: Skilled at talking and typing concurrently while managing various responsibilities with focus and accuracy.

• Basic Technical Troubleshooting: Able to set up and connect essential hardware (monitors, keyboards, etc.) and resolve common technical issues independently.

• Digital Collaboration & Documentation: Experienced in electronic documentation and virtual collaboration tools to support remote teamwork and communication.

• Highly Organized & Results-Oriented: Maintains a structured approach to wo