Nurse Case Manager Jobs in Reston, VA (NOW HIRING)

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.

We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting Northern 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:

As a Nurse Case Manager, you will play a critical role in improving the health and well-being of members by coordinating care, removing barriers, and supporting better outcomes.

In this role, you will:

• 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 Northern Virginia in one of the above mentioned locations
• 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, care coordination and/or managed care organizations.
• Discharge Planning and/or transition of care experience
• Bilingual (English/Spanish)
• 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

Time Type

Pay Range

The typical pay range for this role is:

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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