Registered Nurse Case Manager – Field

Responsibilities

• 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

• Active, unrestricted Registered Nurse (RN) license in Virginia
• Residence in Annandale, Springfield, or surrounding Northern Virginia areas
• Ability and willingness to travel up to 75% locally (reliable transportation required; mileage reimbursed)
• 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
• Experience in case management, particularly within an integrated care model (preferred)
• Bilingual (English/Spanish) (preferred)
• Experience working with youth with mental health diagnoses (preferred)

• Registered Nurse (RN) license
• clinical nursing experience
• case management
• medical-surgical
• acute care
• behavioral health
• care planning
• risk assessment
• data insights
• holistic care approach

• strong communication skills
• organization skills
• critical-thinking skills
• interviewing skills
• trust building
• collaboration
• multidisciplinary teamwork
• member engagement
• active participation encouragement
• problem-solving

• Active RN license in Virginia