ZipRecruiter

Log In

1

Cvs Case Management Jobs in Virginia (NOW HIRING)

ASK Consulting

Nurse Case Manager II

Richmond, VA · On-site

... case management plans, policies, procedures, and regulatory standards while assessing benefits and ... Skills • Prior CVS/Aetna work experience. No • 3 years Clinical practice experience, e.g ...

New

previous pagenext page

Showing results 21-40

All JobsCvs Case Management JobsCvs Case Management Jobs in Virginia

Cvs Case Management information

What is CVS case management?

CVS Case Management refers to a professional service within CVS Health that helps patients, particularly those with complex or chronic health conditions, navigate their healthcare needs. Case managers work with patients, their families, and healthcare providers to coordinate care, manage medications, and ensure access to necessary resources and services. The goal is to improve health outcomes, reduce hospitalizations, and enhance the overall patient experience by providing personalized support and guidance.

What are the key skills and qualifications needed to thrive as a CVS case manager?

To thrive as a CVS Case Manager, you need a background in healthcare or social work, critical thinking, and strong organizational skills, often supported by relevant degrees or licensure (such as RN, LCSW, or equivalent). Familiarity with case management software, electronic health records (EHRs), and knowledge of insurance processes are typically required. Exceptional communication, empathy, and problem-solving abilities help build rapport with clients and collaborate effectively with multidisciplinary teams. These competencies are vital for ensuring coordinated care, positive patient outcomes, and efficient resource utilization.

What are some common challenges faced by professionals in CVS case management, and how can they be addressed?

Professionals in CVS Case Management often encounter challenges such as coordinating care across multiple providers, ensuring timely follow-up, and addressing the diverse needs of patients with complex cardiovascular conditions. These challenges can be managed by maintaining strong communication with interdisciplinary teams, staying organized with thorough documentation, and utilizing electronic health records to track patient progress. Building rapport with patients and their families also helps in managing expectations and promoting adherence to care plans.

What is the difference between Cvs Case Management vs Medical Case Management?

AspectCvs Case ManagementMedical Case Management
CredentialsCase management certification, nursing or social work backgroundLicensed nurses, social workers, or health professionals with case management certification
Work EnvironmentHealthcare facilities, insurance companies, community agenciesHospitals, clinics, insurance providers, community health organizations
Industry UsageInsurance, healthcare, social servicesHealthcare, insurance, rehabilitation services

Both Cvs Case Management and Medical Case Management involve coordinating patient care, assessing needs, and facilitating services. However, Cvs Case Management often focuses on insurance claims and social support within retail or pharmacy settings, while Medical Case Management is more clinically oriented, involving direct healthcare oversight and medical assessments.

What are the most commonly searched types of Cvs Case Management jobs in Virginia?

The most popular types of Cvs Case Management jobs in Virginia are:

What cities in Virginia are hiring for Cvs Case Management jobs?

Cities in Virginia with the most Cvs Case Management job openings:

Cvs Case Management jobs near you
Infographic showing various Cvs Case Management job openings in Virginia as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Case Manage Registered Nurse - Field - Must reside near Richmond

Chester, VA • On-site

CVS Health
Health Care and Social Assistance • 10K+ employees
Learn more about CVS Healthexternal

$60K - $129K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,372 frontline employees who took The Breakroom Quiz

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 ourselvesaccountable 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.

Position Summary

This position is for Virginia Only candidates with up to70% travel requiredin Central region

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.

Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

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.


Required Qualifications

  • RN/BH with current unrestricted Virginia state licensure required.
  • 3 years clinical experience
  • Must reside in Richmond, Virginia or Surrounding 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
  • Driver's License


Preferred Qualifications

  • Case Management in an integrated model preferred
  • 5 years clinical practice experience
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Proficiency with computer skills which includes navigating multiple systems and keyboarding.
  • Effective communication skills, both verbal and written.
  • Bilingualin English/Spanish

Education

  • Registered Nurse (RN) Licensure with minimum of an Associates Degree in Nursing
  • Behavioral Health (BH) Licensure (e.g. LCSW, LCPC, LMFT) with a minimum of Master's Degree in a related field (Preferable Social Work)

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. 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.

We anticipate the application window for this opening will close on: 09/15/2026

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

What CVS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply