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Case Manager, Registered Nurse – Field - Cook County, IL

Skokie, IL, USA|Remote, Onsite

Job Overview

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Employment Type

Full-time
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Compensation

Salary
Range $66,575.00 - $142,576.00
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Work Schedule

Standard Hours
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Benefits

Medical insurance
Dental Insurance
Vision Insurance
Paid Time Off
retirement savings plan
wellness programs
Employee assistance program

Job Description

CVS Health is a premier healthcare company dedicated to shaping a more connected, convenient, and compassionate health experience for every individual. As a leader in the healthcare and pharmacy services sector, CVS Health operates with a mission to simplify healthcare for patients, families, and communities across the nation. With a workforce of passionate colleagues who prioritize safety, quality, and accountability, the company fosters innovation centered on improving patient outcomes, health equity, and comprehensive care delivery. CVS Health is recognized not only for its extensive retail pharmacy network but also for its integrated healthcare offerings through its Aetna division, which focuses on serving diverse populations including those with complex health needs.

Join CVS Health as a Case Manager within the Aetna team, an industry front-runner specializing in serving dual eligible populations enrolled in Medicare and Medicaid. This role offers a unique chance to make a life-changing impact on members facing a wide range of complex health and social challenges. By leveraging best-in-class operating and clinical models, the team collaboratively addresses the comprehensive health care and social determinants of members, involving close communication and coordination with members, healthcare providers, and community organizations. This position supports CVS Health's commitment to transforming healthcare delivery and expanding access across new markets nationwide.

The Case Manager at CVS Health plays a critical role through a collaborative process that includes assessment, planning, facilitation, care coordination, evaluation, and advocacy. Their objective is to meet the comprehensive health needs of individuals and families by connecting them with appropriate resources and services that promote quality and cost-effective health outcomes. Working both telephonically and, when necessary, in person, Case Managers serve as liaisons among members, providers, employers, and insurance companies to facilitate continuity and integration of care.

This full-time position requires a Registered Nurse (RN) with active and unrestricted licensure in Illinois and at least three years of clinical experience. The role demands strong analytical and problem-solving skills, effective communication, and the ability to work independently while participating virtually with internal multidisciplinary teams. Flexibility is required, including willingness to travel up to 50% within Cook County, Illinois, with mileage reimbursed according to company policy.

The anticipated weekly hours for this role are 40, and it offers a competitive salary range from $66,575 to $142,576 annually, depending on experience, education, and geography. In addition to the base salary, employees are eligible for bonuses, commissions, and short-term incentive programs, highlighting CVS Health's commitment to rewarding performance and dedication.

CVS Health fosters an inclusive workplace where every colleague feels valued and belongs, reflecting the diverse communities we serve. Candidates who join the company will benefit from a comprehensive benefits package designed to support their physical, emotional, and financial well-being. This includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, enhancing work-life balance and overall employee satisfaction.

Job Requirements

  • Candidate must reside within or be willing to travel frequently to Cook County, Illinois
  • Must have reliable transportation and be willing to travel up to 50% of the time in Cook County
  • Active and unrestricted Registered Nurse (RN) license in Illinois required
  • Minimum 3 years clinical nursing experience
  • Experience with computer navigation and MS Office Suite
  • Confidence working independently and collaborating virtually
  • Strong analytical and problem-solving abilities
  • Excellent communication and organizational skills

Job Qualifications

  • Associate's Degree in Nursing
  • Bachelor’s Degree in Nursing preferred
  • Active and unrestricted Registered Nurse (RN) licensure in Illinois
  • 3+ years of clinical practical experience as a Registered Nurse
  • 2+ years’ experience navigating multiple computer systems and using MS Office Suite
  • Excellent analytical and problem-solving skills
  • Effective communication, organizational, and interpersonal skills
  • Ability to work independently

Job Duties

  • Act as a liaison with members, clients, families, employers, providers, insurance companies, and healthcare personnel
  • Implement and coordinate case management activities for catastrophic and chronically ill members across the continuum of care
  • Interact with members telephonically or in person, including home visits, worksites, or physician offices
  • Assess and analyze members' medical and vocational status, developing care plans to optimize wellness and medical outcomes
  • Communicate effectively with members and stakeholders
  • Prepare required documentation of case work activities
  • Consult with internal multidisciplinary teams to maximize health outcomes

Job Criteria

Experience

Mid Level (3-7 years)


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