Case Manager Nurse

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.

Need to reside in or near Campbell County Virginia

This Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based position out of Charlottesville Virginia. The requirements is for candidates to hold a Virginia RN or LPN License, and travel up to 50-75% of the time to meet with members face to face.

The Nurse Case Manager is responsible for evaluating and coordinating care for members to improve their overall health and wellness. This includes:

• Assessing medical needs and eligibility.
• Developing care plans to address short- and long-term health goals.
• Using clinical tools and data to guide decisions.
• Coordinating services across programs and providers.
• Addressing complex health and social issues.
• Reviewing claims and functional capacity.
• Referring members to appropriate clinical resources.
• Collaborating with supervisors and multidisciplinary teams.
• Ensuring compliance with policies and regulations.
• Engaging members through effective communication.

Work Location & Travel Requirements:

This is a Work-at-Home (WAH) position based out of the candidate's residence in Campbell County VA, with up to 75% field travel. The role requires a secure, HIPAA-compliant home workspace with reliable phone and hard-wired internet service. Work hours are Monday through Friday, 8 AM to 5 PM EST. Colleagues must be accessible via phone, videoconference, and email during scheduled hours and ensure that personal responsibilities, including dependent care, do not interfere with work duties.

As a field-based role, the Nurse Case Manager will regularly travel to various locations including member homes, healthcare facilities (e.g., nursing homes, rehab centers), community sites, and client or company locations. Unlike office-based roles, field-based colleagues do not have a single primary worksite and may work in multiple locations throughout the week or month.

Required Qualifications:

• Candidates must reside in or near Campbell County, VA
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time. Mileage is reimbursed per our company expense reimbursement policy
• LPN/RN with current unrestricted Virginia state licensure required.
• 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health, Long term Care, etc.)
• 1+ years Managed Care experience.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.

Preferred Qualifications

• Case Management in an integrated model preferred (Waiver and IDDP-Combination of different services)
• Bilingual in English/Spanish

Education:

Associates degree in Nursing Required; prefer a BSN

Technology 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

The typical pay range for this role is:

$ $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 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

We anticipate the application window for this opening will close on: 11/20/2025

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