RN Case Manager: Complex Care & Care Coordination

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

Job summary

CVS Health Corporation in Illinois is seeking an experienced RN Case Manager to coordinate benefits and care for dual eligible populations. You will assess needs, arrange services, and promote wellness across members’ health and social needs, with travel up to 50–75% across Kane, LaSalle and nearby counties.

Requires an RN license in Illinois, an associate degree (bachelor’s preferred), and 3+ years of clinical practice.

Qualifications

• 3+ years clinical practical experience
• Confidence working at home and independent collaboration
• Excellent analytical and problem-solving skills
• Effective communication and organizational abilities
• Willingness to travel up to 50-75% in surrounding counties

Responsibilities

• Act as liaison with members, providers, and insurers to coordinate care
• Assess and manage case work for rehabilitation and return-to-work plans
• Communicate with stakeholders via phone, email, and in person
• Prepare documentation of case work activities and outcomes
• Utilize clinical tools and data to optimize wellness and eligibility

Skills

Analytical skills

Communication skills

Independent work

MS Office 365

Travel up to 50-75%

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Teams

Job description

CVS Health Corporation in Illinois is seeking an experienced RN Case Manager to coordinate benefits and care for dual eligible populations. You will assess needs, arrange services, and promote wellness across members’ health and social needs, with travel up to 50–75% across Kane, LaSalle and nearby counties.

Requires an RN license in Illinois, an associate degree (bachelor’s preferred), and 3+ years of clinical practice.