Case Manager, Registered Nurse

Job not on LinkedIn

🕒 July 16

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Assess, plan, facilitate, coordinate, evaluate, and advocate for options and services addressing members’ comprehensive health needs • Assess, plan, implement, and coordinate case management activities to evaluate members’ medical needs and facilitate overall wellness • Develop proactive plans of care addressing identified issues and enhancing short- and long-term outcomes • Use clinical tools and information/data review to evaluate member needs and benefits • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Conduct assessments using information from claims and other sources, including co-morbidities and multiple diagnoses affecting functionality • Use a holistic approach to determine referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors and healthcare stakeholders to overcome barriers and present cases at interdisciplinary case conferences • Follow regulatory and company case management policies and procedures • Use motivational interviewing to maximize member engagement and determine health status and needs

🎯 Requirements

• Minimum 3-5 years clinical practical experience required • Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills • Ability to work independently • Effective computer skills including navigating multiple systems and keyboarding • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Candidates must live in Illinois • Active and unrestricted Registered Nurse license in Illinois • Certified Case Manager preferred • Bilingual preferred • Associate degree required; Bachelor's preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility