Case Manager, Registered Nurse Field (Bureau County, IL)

IntelliResume; Illinois; Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs and other resources

Job summary

CVS Health is seeking a Case Manager, Registered Nurse Field based in Illinois to assess, plan, implement, and coordinate care for members enrolled in Medicare and Medicaid. The role emphasizes advocacy, collaboration, and proactive care management in diverse settings.

Ideal candidates hold an Illinois RN license and have 3–5 years of clinical experience, with preference for Certified Case Manager. Travel up to 75% and in-home/home-site visits are common.

Qualifications

• Active and unencumbered RN license in Illinois.
• 3–5 years of clinical experience.
• Preferred: Certified Case Manager.

Responsibilities

• Develop proactive care plans to enhance member outcomes.
• Conduct evaluations of member needs using clinical tools and data review.
• Apply clinical judgment to reduce risk factors and address complex health indicators.
• Collaborate with supervisors and stakeholders to overcome barriers in care.
• Present cases at interdisciplinary conferences.
• Interact with members telephonically or in person; conduct home visits.
• Coordinate referrals to clinical resources as needed.

Skills

Case management

Nursing

Interdisciplinary collaboration

Motivational interviewing

Data review

Education

Associate's degree

Job description

About This Role

The Case Manager, Registered Nurse Field role at CVS Health involves assessing, planning, implementing, and coordinating case management activities for members, particularly those enrolled in Medicare and Medicaid. This position is ideal for experienced nurses who are passionate about advocating for members' health and wellness.

Highlights

• Pay: $66,575 - $142,576/year
• Location: Bureau County, IL
• Residency: Must reside in the state of Illinois
• Travel: Willing and able to travel up to 75% of the time

What You'll Do

• Develop a proactive plan of care to enhance member outcomes.
• Conduct evaluations of member needs using clinical tools and data review.
• Apply clinical judgment to reduce risk factors and address complex health indicators.
• Conduct assessments considering various information sources, including claims.
• Use a holistic approach to determine the need for referrals to clinical resources.
• Collaborate with supervisors and stakeholders to overcome barriers in care.
• Present cases at interdisciplinary case conferences.
• Utilize motivational interviewing skills to engage members effectively.
• Interact with members/clients telephonically or in person.
• Meet with members/clients in their homes or worksites for ongoing case management.

Requirements

• Education:
  • Associate's degree required
• Experience:
  • Minimum 3-5 years clinical practical experience
  • Preferred: 2-3 years in Care Management, discharge planning, or home health care coordination
• Licenses & Certifications:
  • Active and unencumbered Registered Nurse license in the state of Illinois required
  • Certified Case Manager preferred

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

About CVS Health

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on creating a more connected and compassionate health experience for individuals and communities.