Case Manager RN - Field (Richmond/Central Virginia)

$60,522 - $129,615 / year

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

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.

Share this job

Related Jobs

Full-time

1 week ago

Registered Nurse (RN) - Emergency Department - Rotating

VCU Health New Kent, VA

$34 - $54.58 / hour

The Clinical Nurse I job Integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Compensation Ranges: Clinical Nurse I: $34.00 - $49.50 Clinical Nurse II: $34.65 - $51.97 Clinical Nurse III: $36.38 - $54.58 Actual Salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications. Compensation Ranges: Clinical Nurse I: $34.00 - $49.50 Clinical Nurse II: $34.65 - $51.97 Clinical Nurse III: $36.38 - $54.58 Actual Salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications. Rotating EEO Employer/Disabled/Protected Veteran

Home Health

1 month ago

Registered Nurse

UnitedHealthcare Petersburg, VA

$36.27 - $54.41 / hour

Explore opportunities with Southside Regional Home Health , a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: Clinical Competence Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations Provides required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely Documents patient visits per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence Teamwork Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes Participates in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization management model Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in state of practice Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualifications: Current CPR Certification or ability to complete within 90 days of hire 1+ years of Home Health experience Ability to work independently Solid communication, writing, and organizational skills Pay Range $75,450 - $113,174 annual total cash target pay $43.53 - $65.29 per visit point $36.27 - $54.41 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Hospice

Full-time

1 month ago

Registered Nurse (RN)

Agape Care Group Petersburg, VA

Overview Join Our Team as a Registered Nurse Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are looking for registered nurses who are committed to creating meaningful patient experiences. As a registered nurse on our team, you’ll evaluate patients and create care plans, all while communicating with everyone involved — the patient, the patient’s family, and the care team. You’ll serve as the driver of our care team to ensure every patient receives quality care. And just like all of our team members, our RNs have access to our supportive leadership team and professional development opportunities with plenty of room for advancement. We’re Offering Even More Great Benefits When You Join Our Team! Tuition Reimbursement Immediate Access to Paid Time Off Employee Referral Program Bonus Eligibility Matching 401K Annual Merit Increases Years of Service Award Bonuses Financial and Legal Assistance Program Mental Health and Counseling Programs Dental and Orthodontic Coverage Vision Insurance Health Care with Low Premiums $500 Matching Health Savings Account Short-term and Long-term Disability Access to Virtual Health & Wellness Fertility Assistance Program Our Company Mission Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren’t empty words. In every interaction, no matter how big or small, we’re dedicated to providing a superior experience for patients facing life-limiting illnesses and their families. About Agape Care Group As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers — Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company’s employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others. Qualifications A heart to serve patients and families and a passion for providing the best possible care Education: Graduate of an accredited school of nursing with a current state license as a registered nurse Experience: 2+ years of nursing experience in a clinical care setting (hospice experience preferred) Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100 lbs and bear the weight of an average adult effectively. We’ve worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we’d love for you to join our team. *Pay is determined by years of experience and location.

Home Health

Full-time

4 months ago

RN / Registered Nurse - Home Health

BrightSpring Health Services Colonial Heights, VA

Our Company Adoration Home Health and Hospice Overview Are you a Registered Nurse looking for a new opportunity? Adoration Home Health is seeking a passionate, dedicated Home Health RN to join our team in Colonial Heights, VA . Our Home Health RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Colonial Heights, VA Coverage area: Tri-Cities Southern Territory Schedule: Full-Time; Monday - Friday Home Health and HCHB Experience Preferred How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Responsibilities As a Home Health Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the state of practice and in the state of residence is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn.

Home Health

Full-time

4 months ago

RN / Registered Nurse - Home Health - $7.5k Sign-on Bonus

BrightSpring Health Services Colonial Heights, VA

$74,000 - $77,000 / year

Our Company Adoration Health Overview Are you a Registered Nurse looking for a new opportunity? Adoration Home Health is seeking a passionate, dedicated Home Health RN to join our team in Colonial Heights, VA . Our Home Health RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! $7.5k Sign-on Bonus * Office Location: Colonial Heights, VA Coverage area: Tri-Cities Southern Territory Schedule: Full-Time; Monday - Friday Home Health and HCHB Experience Preferred How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status / Sign-on bonus applicable to external/new hires only Responsibilities As a Home Health Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the state of practice and in the state of residence is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn. Salary Range USD $74,000.00 - $77,000.00 / Year