Case Manager Registered Nurse u2013 Field u2013 Must ...

Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll 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 u2013 helping to simplify health care one person, one family and one community at a time. Position Summary Join Aetnau2019s Illinois care management team supporting the Du2011SNP FIDE (Fully Integrated Dual Eligible Special Needs Plan) population. As a Case Manager u2013 RN Field , you will deliver personu2011centered, wholeu2011person case management for dualu2011eligible members with complex medical, behavioral, functional, and social determinant needs. This role integrates clinical assessment, care planning, coordination, advocacy, transitionsu2011ofu2011care support, and evaluation to drive highu2011quality, costu2011effective outcomes. You will collaborate closely with members, caregivers, providers, and community partners to support the full continuum of integrated medical and behavioral health care , conduct telephonic and inu2011person field visits throughout DuPage County and surrounding areas , and address barriers to care, including social determinants of health (SDOH). Responsibilities include completing comprehensive clinical assessments, developing and updating individualized care plans, providing crisis intervention/follow-up, applying clinical criteria and guidelines, escalating quality-of-care concerns, presenting cases in multidisciplinary rounds, documenting and evaluating outcomes in compliance with regulatory and organizational standards, and actively monitoring member progress toward health and wellness goals. Required Qualifications + Must reside in DuPage County, Illinois , and be able to travel throughout DuPage and surrounding counties for inu2011person case management activities. + Active, unrestricted Registered Nurse (RN) license in the state of Illinois. + 3u20135 years of direct clinical practice experience (e.g., hospital, ambulatory, outpatient, home health, or community setting). + 2u20133 years of case management, discharge planning, home health coordination, or equivalent experience. + Ability to independently manage a remote/homeu2011based workload while using virtual collaboration tools. + Strong analytical and problemu2011solving skills with the ability to apply clinical judgment in complex cases. + Effective written and verbal communication skills and strong organizational and interpersonal abilities. + Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, Teams, and the ability to learn new systems and applications quickly. + High level of computer efficiency , including navigating multiple systems and accurate keyboarding. + Ability to c onduct inu2011person case management activities as directed by leadership and based on business need. Preferred Qualifications + Prior case management experience working with Du2011SNP , FIDEu2011SNP , or other dualu2011eligible populations. + Experience in managed care, utilization review, or transitionsu2011ofu2011care coordination. + Experience with crisis assessment, intervention, and followu2011up. + Prior fieldu2011based or homeu2011visiting case management experience. + Knowledge of Medicaid, Medicare, and communityu2011based resources in Illinois. + CCM (Certified Case Manager) certification preferred. Education + Registered Nurse (RN) Licensure. + Associates Degree in Nursing required. + Bachelors of Science and Nursing strongly preferred. + Case Management certification (e.g., CCM) preferred. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 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 u2013 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: 04/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.

Created: 2026-03-07