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.
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 and facilitate the member’s overall wellness. The role develops a proactive course of action to address issues presented to enhance short‑ and long‑term outcomes, and supports integration of services, policies and programs, including 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
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, including client locations, facilities (nursing homes, rehabilitation centers, etc.), member homes, and/or community locations.
Preferred Qualifications
Case management and discharge planning experience.
Managed care experience.
Education
Associate’s 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 work, ensuring tasks are completed on time and in alignment with performance metrics.
Metric‑driven performance: demonstrates accountability by consistently meeting or exceeding established goals and expectations.
Clean & efficient workspace management: keeps workspaces tidy and organized to support productivity and comply with professional standards.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
$60,522.00 – $129,615.00
Great benefits for great people
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: 11/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.