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.
Position Summary
This position will be serving the Northern Virginia area. Qualified candidates must live in Culpepper VA and Surrounding Areas. Monday-Friday Standard Business Hours.
Required Qualifications
LPN with current unrestricted Virginia state licensure required
3+ years clinical experience as a LPN (behavioral health, acute/subacute care)
Must reside in Northern Virginia, specifically Fairfax County or Surrounding Areas
Must be willing and able to travel up to 75% of the time to meet members in their home
Preferred Qualifications
Case Management in an integrated model preferred
Bilingual in English/Spanish preferred
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Effective communication skills, both verbal and written.
Education
Associate degree required
A Brief Overview
Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.
What you will do
Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans.
Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues.
Handles reviews of prior claims to address potential impact on current case management and eligibility.
Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality.
Ensures case management processes follow organization and regulatory requirements.
Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions.
Coaches and trains junior colleagues in techniques, processes, and responsibilities.
For this role you will need Minimum Requirements
Basic awareness of problem solving and decision making skills
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
$22.40 - $48.67
The typical pay range for this role is:
$22.40 - $48.67
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.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.