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

CVS Health Corporation; United States; Remote; USD 67,000 - 143,000; Full time

Job summary

CVS Health Corporation in Illinois seeks a Care Manager to advocate for members with complex health and social needs. This remote/field role requires up to 75% travel from home, with a 40-hour work week and an RN license in Illinois.

You will coordinate care within the Aetna team to support Medicare/Medicaid populations and improve wellness outcomes. As a frontline advocate, you will assess needs, plan and implement care, collaborate with an interdisciplinary team, and engage members using

Qualifications

• Must reside in Illinois.
• Willing to travel up to 75% from home.
• 3–5 years of clinical experience.
• Able to work from home and collaborate virtually.
• Strong analytical, communication, and organizational skills.
• Proficient with MS Word, Excel, Outlook, PowerPoint; some proprietary apps.

Responsibilities

• Assess, plan, implement, and coordinate all case management activities for members.
• Evaluate medical needs to support overall wellness.
• Use clinical tools and data to assess needs and benefits.
• Collaborate with interdisciplinary team and stakeholders.
• Engage members by motivational interviewing and maintain contact by phone or in person.
• Meet members in homes, worksites, or physician offices as needed.

Skills

Clinical experience

Analytical skills

Communication skills

Independent work

Computer skills

Education

Associate degree

RN license (Illinois)

Tools

MS Word

MS Excel

MS Outlook

PowerPoint

Proprietary applications

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Location Bureau County or surrounding area.

Program Overview
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country.

Position Summary/Mission
Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.

Fundamental Components & Physical Requirements

• Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.

• Uses clinical tools and information/data review to conduct an evaluation of member’s needs and benefits.

• Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.

• Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.

• Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.

• Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences

• Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

• Interacts withmembers/clientstelephonically orinperson. Maybe requiredtomeet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services.

Remote Work Expectations

• This is a remote/field role; candidates must have a dedicated workspace free of interruptions

• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications

Must reside in the state of Illinois

Must possess reliable transportation and be willing and able to travel up to 75% of the time from home location. Mileage is reimbursed per our company expense reimbursement policy

Minimum 3-5 years clinical practical experience

Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually

Excellent analytical and problem-solving skills

Effective communications, organizational, and interpersonal skills.

Ability to work independently

Effective computer skills including navigating multiple systems and keyboarding

Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications

Preferred Qualifications

2-3 years Care Management, discharge planning and/or home health care coordination experience

Certified Case Manager

Bilingual

Education

Associate’s degree required, along with active and unencumbered Registered Nurse license in the state of Illinois

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/16/2026

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