RN Case Manager: Medicare/Medicaid Care Coordination

CVS Health Corporation; Batavia (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 support dual eligible populations across Medicare and Medicaid. You will coordinate benefits, develop health strategies, and collaborate with members, providers, and community partners to improve health outcomes.

This role requires residence in Kane/LaSalle counties, 3+ years of clinical practice, and willingness to travel up to 75%.

Qualifications

• Illinois RN license is required and active.
• Residence in Kane/LaSalle counties with willingness to travel 50-75%.
• 3+ years of clinical practice in patient care or case management.
• Capability to work from home and collaborate virtually.

Responsibilities

• Coordinate case management activities across the continuum of care.
• Communicate with members, providers, and insurers to ensure benefits and care alignment.
• Assess needs, plan care, and facilitate appropriate services.
• Maintain documentation and ensure regulatory compliance.
• Partner with multidisciplinary teams to optimize outcomes.

Skills

Analytical skills

Problem-solving

Communication

Independent work

Microsoft Office

Organizational skills

Interpersonal skills

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

Microsoft Office 365

VPN access

EHR systems

Job description

CVS Health Corporation in Illinois is seeking an experienced RN Case Manager to support dual eligible populations across Medicare and Medicaid. You will coordinate benefits, develop health strategies, and collaborate with members, providers, and community partners to improve health outcomes.

This role requires residence in Kane/LaSalle counties, 3+ years of clinical practice, and willingness to travel up to 75%.