Case Manager, Registered Nurse – Field
CVS Health
full-time
Posted on:
Location Type: Hybrid
Location: Lake Forest • Illinois • United States
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Salary
💰 $66,575 - $142,576 per year
About the role
- Serve as a liaison between members/clients, families, employers, providers, insurance carriers, and healthcare personnel as appropriate
- Implement and coordinate case management activities for catastrophic and chronically ill members across the continuum of care
- Interact with members/clients both telephonically and in person while working on‑site at either location
- Assess medical, functional, and vocational status to develop and implement individualized plans of care
- Communicate effectively with stakeholders including medical providers, attorneys, employers, and insurance carriers
- Prepare timely and accurate documentation of all case management activities
- Collaborate with internal multidisciplinary teams to support optimal member outcomes
- Conduct outreach to treating physicians and specialists to support appropriate care planning
- Provide education and preventive guidance to promote best clinical outcomes
- Monitor member progress toward desired outcomes and adjust care plans as needed
- Develop proactive strategies to address complex needs and support both short‑ and long‑term wellness outcomes
Requirements
- Active and unrestricted Registered Nurse License (RN) in Illinois (IL)
- Reliable transportation and ability to consistently meet onsite, hospital based work requirements
- 3+ years of clinical experience, preferably with Medicare and Commercial populations
- Ability to work independently within a hospital‑based environment
- Strong analytical, problem‑solving, organizational, and communication skills
- Proficiency in Microsoft Word, Excel, Outlook, PowerPoint, and proprietary clinical systems
- Efficient computer skills, including navigating multiple systems and keyboarding
- 3+ year of experience in care management, discharge planning, or home health coordination (preferred)
- Willingness to obtain multi‑state RN licensure (company supported) (preferred)
- National certification (CRC, CDMS, CRRN, COHN, or CCM) (preferred)
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access and many other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementclinical experiencedischarge planninghome health coordinationcare planninganalytical skillsproblem-solving skillsorganizational skillscommunication skillskeyboard skills
Soft Skills
independent workcollaborationeducation and guidanceoutreach
Certifications
Registered Nurse License (RN)CRCCDMSCRRNCOHNCCM