Remote RN Case Manager | Care Coordination Leader

CVS Health; Springfield (IL); Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Care Manager RN in Illinois to coordinate and oversee complex patient care, partnering with members and families to ensure access to benefits and services. You will develop individualized care plans, monitor outcomes, and advocate for high‑quality, cost‑effective care.

The role requires an RN license in Illinois, 3–5 years of clinical nursing and 2–3 years in case management or home health, with 50–75% travel.

Qualifications

• Must reside in Cook County and be able to service members in Cook County and surrounding areas.
• Active and unrestricted Registered Nurse (RN) license in the state of Illinois.
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time.
• Mileage is reimbursed per our company expense reimbursement policy
• Minimum of 3-5 years of clinical nursing experience.
• Minimum of 2-3 years of experience in case management, discharge planning, care coordination, or home health.
• Strong clinical assessment, critical thinking, and problem‑solving skills.
• Excellent communication, organizational, and interpersonal skills.
• Ability to work independently and effectively in a remote environment.
• Comfortable use of technology to collaborate virtually with interdisciplinary teams.

Responsibilities

• Serve as a liaison among members, families, providers, employers, health plans, community organizations, and other key stakeholders.
• Coordinate and manage care activities for members with complex, chronic, catastrophic, or acute health conditions across the continuum of care.
• Conduct comprehensive assessments to evaluate medical, functional, psychosocial, and environmental needs.
• Develop, implement, and monitor individualized care plans designed to improve health outcomes and support member wellness.
• Facilitate access to appropriate healthcare services, community resources, home health services, and alternative levels of care.
• Engage with members telephonically and through in‑person visits in homes, provider offices, or community settings as needed.
• Collaborate with interdisciplinary care teams to ensure coordinated, evidence‑based care.
• Communicate effectively with providers, members, caregivers, and other stakeholders regarding treatment plans, progress, and care needs.

Education

Associate or bachelor’s degree in nursing

Job description

CVS Health is hiring a Care Manager RN in Illinois to coordinate and oversee complex patient care, partnering with members and families to ensure access to benefits and services. You will develop individualized care plans, monitor outcomes, and advocate for high‑quality, cost‑effective care.

The role requires an RN license in Illinois, 3–5 years of clinical nursing and 2–3 years in case management or home health, with 50–75% travel.