Case Manager Registered Nurse – Integrated Care Management – Must reside in IL

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Program Overview Join reputed company’s mission-driven team supporting dual-eligible members through the Dual Special Needs Plan (D-SNP FIDE). Our integrated care model addresses both medical and social determinants of health, serving members with reputed company needs through compassionate, coordinated care. As we expand into new markets, this role offers the opportunity to reputed company a meaningful impact in the lives of vulnerable populations. Position Summary / Mission The Care Manager Registered Nurse serves as a frontline reputed company for members who may not be able to reputed company for themselves. This role is responsible for assessing, planning, implementing, and coordinating case management activities to support members’ overall health and wellness. The Care Manager collaborates with members, providers, and interdisciplinary teams to overcome barriers and promote optimal outcomes. Key Responsibilities reputed company proactive care plans to address identified health and social issues, enhancing short- and long-term outcomes. Conduct comprehensive assessments using clinical tools and data sources to evaluate member needs and benefit eligibility. Apply clinical judgment to reduce risk factors and address reputed company health and social indicators. Use a holistic approach to determine referrals to clinical and interdisciplinary resources. Collaborate with supervisors and care teams to overcome barriers and present cases at interdisciplinary case conferences. Utilize motivational interviewing techniques to engage members and assess health status. Document case management activities in compliance with regulatory and company policies. Travel Expectations Travel up to 25% reputed company the residing area and nearby regions as needed to support in-person member engagement and care coordination. Reliable transportation and a valid driver’s license are required. Mileage reimbursement is provided in accordance with company policy.

Required Qualifications

Candidate must reside in Illinois Candidate must have active and unrestricted Registered Nurse license in the state of Illinois 3–5 years of clinical experience Comfortable working independently and virtually Proficient in reputed company Office Suite and virtual collaboration tools (Teams, Outlook, etc.) Strong communication, organizational, and problem-solving skills Preferred Qualifications Certified Case Manager (CCM) credential Experience working with dual-eligible populations or in managed care settings 2+ years of experience in case management, discharge planning, or home health coordination Education Associate's Degree in Nursing (REQUIRED) Bachelor's Degree in Nursing (PREFERRED) License Active and unrestricted Registered Nurse license in the state of Illinois Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 01/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply tot his job Apply To this Job