Field Nurse Case Manager - Travel 50-75% (Chicago Suburbs)

CVS Health; Elmhurst (IL); On-site; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Job summary

CVS Health is seeking a Nurse Case Manager to coordinate telephonic and face-to-face case management activities for members, ensuring optimal wellness. The role involves travel to the Chicago area and surrounding suburbs, with 50-75% travel and a standard 40-hour work week.

Responsibilities include evaluating medical needs, developing care strategies, and ensuring programs align with regulatory and network policies. IL RN licensure and at least 3 years of clinical practice are required.

Qualifications

• Minimum 3 years of clinical practice experience required.
• MS Office suite experience required.

Responsibilities

• Coordinates all case management activities with members to evaluate medical needs and to facilitate overall wellness.
• Develops strategy to address issues to outcomes and opportunities to enhance wellness through integration.
• Instructs programs and procedures in compliance with network management and clinical coverage policies.
• Uses clinical tools and data review to assess member needs and benefit plan eligibility.
• Applies clinical judgment to reduce risk factors and address barriers in care planning.

Skills

Clinical experience

MS Office

Education

RN licensure IL

Associate degree in Nursing

BSN preferred

Tools

MS Office

Job description

CVS Health is seeking a Nurse Case Manager to coordinate telephonic and face-to-face case management activities for members, ensuring optimal wellness. The role involves travel to the Chicago area and surrounding suburbs, with 50-75% travel and a standard 40-hour work week.

Responsibilities include evaluating medical needs, developing care strategies, and ensuring programs align with regulatory and network policies. IL RN licensure and at least 3 years of clinical practice are required.