Care Manager Registered Nurse - Field (Central Illinois - Peoria)

CVS Health • Peoria, IL

1d • Hybrid

About The Position

The Case Management Coordinator uses critical thinking and judgment to collaborate and inform the case management process. The role facilitates appropriate healthcare outcomes for members by assisting with appointment scheduling, identifying and helping members access benefits, and providing education through care management tools and resources. The position serves members enrolled in Medicare and Medicaid who may have complex health and social challenges, collaborating with members, providers, and community organizations to address healthcare and social determinant needs.

This field role is based from home in Illinois and requires travel up to 75% of the time around Central Illinois, including the Peoria area and nearby counties. Mileage is reimbursed under the company expense reimbursement policy. The position requires a private, secure home workspace and a qualifying wired internet connection. CVS Health provides computer equipment and related peripherals; the colleague supplies workspace furniture. The role is full-time, with 40 anticipated weekly hours.

Requirements

• Must reside in the state of Illinois and work within the state and city where currently living.
• Must have reliable transportation and be willing and able to travel up to 75% of the time from the home location in and around Central Illinois.
• Minimum 3–5 years of clinical practical experience.
• Active and unencumbered Registered Nurse license in Illinois.
• Associate's degree required.
• Ability to work independently and confidence working from home as an independent thinker while collaborating and connecting with teams virtually.
• Excellent analytical and problem-solving skills.
• Effective communication, organizational, and interpersonal skills.
• Effective computer skills, including navigating multiple systems and keyboarding.
• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some proprietary applications.
• Must have or be able to obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
• Must maintain a quiet, secure, private, organized home work location compliant with CVS Health and HIPAA guidelines and suitable for uninterrupted work.
• Must provide workspace furniture, such as a desk or standing desk, and be able to work at a desk for extended periods.
• Must be comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Must be able to use digital communication tools such as email, calendar invites, Teams messaging, and virtual meetings.
• Must be able to use Microsoft Office 365 applications or similar tools such as Google Workspace.
• Must be able to access secure systems such as VPN and EHR portals, follow screen-locking and password practices, and recognize suspicious emails or links.
• Must be able to troubleshoot common technical issues independently and contact IT for unresolved issues.
• Openness to learning new skills as the workplace environment evolves.

Nice To Haves

• Bachelor's degree preferred.
• 2–3 years of care management, discharge planning, and/or home health care coordination experience.
• Certified Case Manager credential.
• Bilingual ability.

Responsibilities

• Collaborate and inform the case management process using critical thinking and judgment.
• Facilitate appropriate healthcare outcomes for members.
• Assist members with appointment scheduling.
• Identify and assist members with accessing benefits.
• Educate members using care management tools and resources.
• Collaborate with members, providers, and community organizations to address healthcare and social determinant needs.
• Travel in and around Central Illinois, as required, up to 75% of the time.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting colleagues' and families' physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree