Senior RN Case Manager – Field-Based Health Navigator

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

Benefits offered by this job

Mileage reimbursement

Job summary

CVS Health invites applications for a Nurse Case Manager in Illinois. The role coordinates telephonic and face-to-face case management with members to assess medical needs and support wellness, using clinical tools and policies for guidance.

The position requires 50–75% travel to meet members in the Northern suburbs of Chicago, with a valid IL RN license and 3+ years of clinical practice. Full-time with comprehensive benefits.

Qualifications

• 3+ years of clinical practice experience required.
• Current Active unrestricted RN licensure in IL required.
• Associate's degree with RN licensure required.

Responsibilities

• Coordinate all case management activities with members to evaluate medical needs and to facilitate the member’s overall wellness.
• Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration.
• Instructs programs and procedures in compliance with network management and clinical coverage policies.
• Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
• Reviews prior claims to address potential impact on current case management and eligibility.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.

Skills

Clinical practice

Education

Associate's degree with RN licensure

Bachelor's of Science & Nursing

Tools

MS Office

Job description

CVS Health invites applications for a Nurse Case Manager in Illinois. The role coordinates telephonic and face-to-face case management with members to assess medical needs and support wellness, using clinical tools and policies for guidance.

The position requires 50–75% travel to meet members in the Northern suburbs of Chicago, with a valid IL RN license and 3+ years of clinical practice. Full-time with comprehensive benefits.