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$61k–$130k/yr
Full-time
associate degree, bachelor degree
Medical coverage, Dental coverage, Vision coverage, Paid time off, Retirement savings options, Wellness programs
Posted 9d ago
Apply by Aug 22
~40 hrs/week
Remote in Richmond, Virginia, United States
Responsibilities
The RN Case Manager conducts comprehensive assessments and develops individualized care plans for members with complex medical and social needs. They facilitate transitions of care and coordinate services across various settings, including homes, hospitals, and skilled nursing facilities.
Requirements
Candidates must hold an active, unrestricted Registered Nurse (RN) license in Virginia and possess at least 2 years of clinical nursing experience. The role requires the ability to travel up to 75% of the time within the assigned service area and maintain a valid driver's license.
Full 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 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.
Program Overview
Join a team dedicated to improving health outcomes for Medicare and Medicaid members with complex medical, behavioral, and social needs. As an RN Case Manager, you will play a critical role in delivering holistic, member-centered care by collaborating with members, caregivers, providers, community partners, and interdisciplinary teams.
This position offers an opportunity to make a meaningful impact by addressing clinical needs, social determinants of health, and care coordination challenges while supporting members in achieving their health and wellness goals.
Position Summary
This is a field-based position located in Richmond VA/Central Region. Candidates must reside within a commutable distance of the assigned service area. The RN Case Manager serves as a frontline advocate for members, providing comprehensive care management services through telephonic, virtual, home-based, community-based, and facility-based interactions. Responsibilities include assessing member needs, developing individualized care plans, coordinating services, addressing barriers to care, and promoting improved health outcomes through effective care management interventions. The role requires conducting visits in members' homes, hospitals, skilled nursing facilities, and other care settings as needed to support transitions of care, discharge planning, and ongoing care coordination.
Work Schedule: Monday–Friday, 8:00 AM–5:00 PM EST
Key Responsibilities
Conduct face-to-face visits with members in a variety of settings, including homes, hospitals, skilled nursing facilities, rehabilitation centers, and other community-based locations, as appropriate.
Conduct comprehensive assessments of members' medical, behavioral health, functional, psychosocial, and social determinant needs.
Collaborate with hospital care teams to support discharge planning, transition-of-care activities, and post-discharge follow-up.
Develop, implement, monitor, and update individualized care plans that support member goals and improve health outcomes.
Utilize clinical judgment, evidence-based practices, and available data to identify risks, gaps in care, and opportunities for intervention.
Coordinate services across the continuum of care, including providers, specialists, community resources, and interdisciplinary teams.
Coordinate with facility staff and treating providers to address barriers to discharge, medication adherence, follow-up appointments, and community support needs.
Facilitate transitions of care and support members in navigating complex healthcare systems.
Identify and address barriers that may impact treatment adherence, access to care, and overall wellness.
Identify members during inpatient admissions and engage with members, caregivers, and providers to facilitate safe, timely, and appropriate transitions across the continuum of care.
Apply motivational interviewing and member engagement techniques to encourage participation in care plans and self-management activities.
Collaborate with healthcare providers, caregivers, and community organizations to support comprehensive care delivery.
Participate in interdisciplinary case conferences and consult with leadership as needed regarding complex cases.
Maintain accurate and timely documentation in accordance with regulatory, accreditation, and organizational requirements.
Ensure compliance with all applicable federal, state, and company policies, procedures, and standards.
Required Qualifications
Active and unrestricted Registered Nurse (RN) license in Virginia (Compact License accepted where applicable).
Minimum of 2 years of clinical nursing experience.
Willing and able to travel up to 50-75% within the assigned service area to conduct member visits in homes, hospitals, skilled nursing facilities, and other care settings as needed.
Valid driver's license, reliable transportation, and proof of automobile insurance.
Ability to work independently in a remote and field-based environment.
Preferred Qualifications
2 years of Case Management, Care Coordination, Disease Management, Discharge Planning, Home Health, Population Health, or related experience.
Experience working with Medicare, Medicaid, Dual Eligible, or complex populations.
Knowledge of care management principles, utilization management, and community-based resources.
Certified Case Manager (CCM) certification preferred or willingness to obtain.
Knowledge, Skills, and Abilities
Strong analytical thinking and problem-solving capabilities.
Excellent verbal and written communication skills.
Effective organizational and time-management skills.
Ability to build relationships and engage members from diverse backgrounds.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
Ability to navigate multiple systems and electronic health documentation platforms.
Strong attention to detail and ability to manage a dynamic caseload.
Demonstrated ability to work collaboratively in a virtual and interdisciplinary environment.
Physical Requirements
Frequent local travel to member homes, provider offices, hospitals, skilled nursing facilities and other community locations, as needed.
Ability to perform field visits and work remotely using company technology and equipment.
Education
Associates Degree or Nursing Diploma Required
Bachelors Degree Preferred
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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being 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: 08/22/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Related keywords
Registered NurseCase ManagementCare CoordinationMedicareMedicaidClinical NursingDischarge PlanningHome HealthPopulation HealthCCMSocial Determinants Of HealthPatient AdvocacyInterdisciplinary TeamsMotivational InterviewingElectronic Health DocumentationField-based
Simplifying health care one person, one family and one community at a time
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1963
Headquarters
Woonsocket, RI
LinkedIn followers
1,242,594
Total funding
$4.0B
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
Offices: 1 CVS Drive, Woonsocket, RI 02895, US · 9501 E. Shea Blvd, Scottsdale, AZ 85260, US · 2211 Sanders Road, Northbrook, IL 60062, US · 750 West John Carpenter Freeway, Ste 1200, Irving, TX 75039, US · 620 Epsilon Dr, Pittsburgh, PA 15238, US
RetailPharmacy Benefits ManagementHealth InsuranceHealth CarePharmacyRetailCare Managementand Primary CareFinanceHealth Care
Based on 2620 listings with disclosed salaries, most healthcare jobs in Virginia pay between $61k–$163k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Virginia right now?
There are currently 15,095 open healthcare positions in Virginia listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Virginia?
Companies currently hiring include Sentara Health, UVA Health, Inova Health, CVS Health, Riverside Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Virginia?
Yes — 1282 of the 15095 open healthcare positions offer remote or hybrid work (507 remote, 775 hybrid).
How do I apply for Healthcare jobs in Virginia?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.