Hispanic Alliance for Career Enhancement
Case Manager Registered Nurse - Field - Must reside near Reston Virginia
Hispanic Alliance for Career Enhancement, Baileys Crossroads, Virginia, United States
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. We do it all with heart, each and every day.
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 This position will serve the Northern Virginia area. Qualified candidates must live in Reston, Fairfax County or surrounding areas.
Standard business hours: Monday‑Friday.
Roles and Responsibilities As a Nurse Case Manager, you will telephonically and/or face‑to‑face assess, plan, implement, and coordinate all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. You will develop a proactive course of action to address issues presented to enhance short‑ and long‑term outcomes and opportunities to enhance a member's overall wellness through integration. Your responsibilities include using clinical tools and information/data review to conduct an evaluation of member's needs and benefit plan eligibility, facilitating integrative functions and smooth transition to Aetna programs and plans, applying clinical judgment to reduce risk factors and barriers, addressing complex health and social indicators, reviewing prior claims, assessing work capacity, and determining referrals. You will consult with supervisors, present cases at multidisciplinary conferences, and utilize case management processes in compliance with all regulatory and company policies.
Required Qualifications
RN with current unrestricted Virginia state licensure required
3+ years clinical experience as a Registered Nurse (e.g., med‑surg, behavioral health, acute care)
Must reside in Reston, Virginia or surrounding areas
Must be willing and able to travel up to 75% of the time to meet members in their home
Preferred Qualifications
Case Management in an integrated model preferred
Bilingual in English/Spanish preferred
Ability to multitask, prioritize, and adapt to a fast‑paced changing environment
Proficiency with computer skills, including navigating multiple systems and keyboarding
Effective communication skills, both verbal and written
Education
Associate degree in Nursing required
Bachelor's degree preferred
Unrestricted Virginia State RN License required
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 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.
Great Benefits for Great People We take pride in our comprehensive and competitive mix of pay and benefits to invest in the physical, emotional and financial wellness of our colleagues and their families.
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, weight management, 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: 01/15/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr
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 This position will serve the Northern Virginia area. Qualified candidates must live in Reston, Fairfax County or surrounding areas.
Standard business hours: Monday‑Friday.
Roles and Responsibilities As a Nurse Case Manager, you will telephonically and/or face‑to‑face assess, plan, implement, and coordinate all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. You will develop a proactive course of action to address issues presented to enhance short‑ and long‑term outcomes and opportunities to enhance a member's overall wellness through integration. Your responsibilities include using clinical tools and information/data review to conduct an evaluation of member's needs and benefit plan eligibility, facilitating integrative functions and smooth transition to Aetna programs and plans, applying clinical judgment to reduce risk factors and barriers, addressing complex health and social indicators, reviewing prior claims, assessing work capacity, and determining referrals. You will consult with supervisors, present cases at multidisciplinary conferences, and utilize case management processes in compliance with all regulatory and company policies.
Required Qualifications
RN with current unrestricted Virginia state licensure required
3+ years clinical experience as a Registered Nurse (e.g., med‑surg, behavioral health, acute care)
Must reside in Reston, Virginia or surrounding areas
Must be willing and able to travel up to 75% of the time to meet members in their home
Preferred Qualifications
Case Management in an integrated model preferred
Bilingual in English/Spanish preferred
Ability to multitask, prioritize, and adapt to a fast‑paced changing environment
Proficiency with computer skills, including navigating multiple systems and keyboarding
Effective communication skills, both verbal and written
Education
Associate degree in Nursing required
Bachelor's degree preferred
Unrestricted Virginia State RN License required
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 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.
Great Benefits for Great People We take pride in our comprehensive and competitive mix of pay and benefits to invest in the physical, emotional and financial wellness of our colleagues and their families.
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, weight management, 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: 01/15/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr