Case Manager Registered Nurse - Field in Winchester & surrounding areas, VA

$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.

RN Nurse Case Manager – Field-Based

Location: Winchester & Surrounding areas, VA

Position Overview:

We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Annandale, Springfield, and surrounding areas of 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

Location Requirement: Candidates must currently reside in the Annandale/Springfield area.

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 Winchester, or surrounding Virginia areas
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, particularly within an integrated care model
Bilingual (English/Spanish)
Experience working with youth with mental health diagnoses
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

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: 09/30/2026

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

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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. This position has the authority, responsibility, and shift accountability for the delivery of nursing care through the use of the nursing process. The incumbent accepts accountability, applies competent clinical knowledge skills, and uses independent nursing judgment for care provided by self and by health care providers to whom care is delegated to achieve quality patient care outcomes. The incumbent must demonstrate the knowledge and skills at the novice level necessary to provide care that is relevant to the patient(s) under their care, as well as apply principles of growth and development over the life span. The incumbent also must possess the ability to assess and interpret patient data needed to identify each patient's requirements relative to his or her age-specific needs. This role provides professional nursing care for patients in an inpatient hospital setting. MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). 2. Obtain certification in Basic Life Support within 30 days of hire date. EXPERIENCE: 1. Less than 12 months of experience as a registered nurse. PREFERRED QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelors of Science in Nursing Degree (BSN). CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Demonstrates safety and continuity of care using methods such as documentation, handoff tools/processes, etc. 2. Demonstrates ability to create plan of care using the nursing process: assessment, diagnoses, intervention, and evaluation of outcomes. 3. Recognizes patient safety concerns through appropriate resources. 4. Provides education based on unique learning needs of patient. 5. Incorporates patient individuality & mutuality data in delivery of care. 6. Performs an adequate patient assessment and documentation. 7. Demonstrates teach-back method to evaluate effectiveness of education. 8. Utilizes Evidence-Based Practice (EBP) in nursing care. 9. Participates in organizational patient-centered care model. 10. Documents problems and issues in the plan of care. 11. Demonstrates growth in ability to care for more complex patients utilizing consultation with experienced colleagues. 12. Demonstrates a commitment to lifelong learning through self-reflection and inquiry for learning and personal growth. 13. Retains accountability for delegated nursing care. 14. Recognizes scope of practice for all interprofessional team members. 15. Participates in holistic, culturally sensitive data collection. 16. Assesses the impact of family dynamics on healthcare consumer health and wellness. 17. Integrates the American Nursing Association (ANA)’s code of ethics to guide nursing practice. 18. Identifies discriminatory health care practices in culturally diverse populations. 19. Individualizes care based on beliefs, barriers, and readiness to learn of patients. For facilities with specialty accreditation requirements: 1. Completion of annual required education related to specialty accreditation as defined by accreditation standards. Training may be completed through CBLs, trainings, In-services, and competency validation. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms. 2. Heavy/Hard work : Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs. 3. Visual acuity must be within normal range. 4. Hearing within normal range is required (i.e. to assess breath sounds, bowel sounds, apical pulse, monitors, etc.) WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Working protracted or irregular hours. 2. Working around biohazards. 3. Working around infectious diseases. 4. Working with or near the deceased. 5. Working with hands in water. 6. Working with electrical hazards associated with patient care equipment. SKILLS AND ABILITIES: 1. Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict. 2. Uses competent clinical practice and critical thinking skills to efficiently deliver patient care with all health care providers while maximizing efficient use of resources. 3. Ability to be flexible in response to changes in work volume, staff and scheduling changes. 4. Ability to work successfully under highly stressful conditions and capable of adapting to varying workloads and work assignments on a constant basis. The CAPE program is a system-wide clinical advancement program (clinical ladder) to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing, and improve job satisfaction for inpatient direct care nurses. To apply for the next level, the CAPE nurse must meet the requirements of their current level. They must also meet the required years of nursing experience, degree, and certification to apply for the next level. In addition, nurses who are approved for levels 3, 4, 5, or 6 must complete and submit five competencies on an annual basis to maintain their current level. Level 1 No experience required All graduate nurses with less than 12 months of experience enter at Level one with a diploma, ADN, BSN, or higher Level 2 Meets requirements for previous level One year of experience. Level 3 Meets requirements for previous levels Two years of experience, plus one specialty certification Certification is Preferred but not required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Level 4 Available to those with a BSN or higher or nurses with ADN/diploma with 5 years of experience one specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and/or shared governance at the unit level Level 5 Available to those with an MSN or higher with 4 years of experience, or nurses with a BSN with 4 years of experience and a health-related Master’s Degree, or nurses with a BSN and 5 years of experience One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the organization level Level 6 Available to those with an MSN or higher degree with 7 or more years of experience. Consideration is given to other health-related advanced degrees that would assist with direct patient care at the bedside One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the system level Additional Job Description: 3- 12 hour shifts. Every other weekend and every other holiday Scheduled Weekly Hours: 36 Shift: Night (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: BMC Berkeley Medical Center Cost Center: 13 BMC Nursing Medical Surgical 1 Address: 2500 Hospital Drive Martinsburg West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.