Case Manager Registered Nurse – Field – Must reside in DuPage County Illinois

CVS Health • Wheaton, IL

1d • $66,575 - $142,576 • Hybrid

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Join Aetna’s Illinois care management team supporting the D‑SNP FIDE (Fully Integrated Dual Eligible Special Needs Plan) population. As a Case Manager – RN Field, you will deliver person‑centered, whole‑person case management for dual‑eligible members with complex medical, behavioral, functional, and social determinant needs. This role integrates clinical assessment, care planning, coordination, advocacy, transitions‑of‑care support, and evaluation to drive high‑quality, cost‑effective outcomes. You will collaborate closely with members, caregivers, providers, and community partners to support the full continuum of integrated medical and behavioral health care, conduct telephonic and in‑person field visits throughout DuPage County and surrounding areas, and address barriers to care, including social determinants of health (SDOH).

Requirements

• Must reside in DuPage County, Illinois, and be able to travel throughout DuPage and surrounding counties for in‑person case management activities.
• Active, unrestricted Registered Nurse (RN) license in the state of Illinois.
• 3–5 years of direct clinical practice experience (e.g., hospital, ambulatory, outpatient, home health, or community setting).
• 2–3 years of case management, discharge planning, home health coordination, or equivalent experience.
• Ability to independently manage a remote/home‑based workload while using virtual collaboration tools.
• Strong analytical and problem‑solving skills with the ability to apply clinical judgment in complex cases.
• Effective written and verbal communication skills and strong organizational and interpersonal abilities.
• Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, Teams, and the ability to learn new systems and applications quickly.
• High level of computer efficiency, including navigating multiple systems and accurate keyboarding.
• Ability to conduct in‑person case management activities as directed by leadership and based on business need.

Nice To Haves

• Prior case management experience working with D‑SNP, FIDE‑SNP, or other dual‑eligible populations.
• Experience in managed care, utilization review, or transitions‑of‑care coordination.
• Experience with crisis assessment, intervention, and follow‑up.
• Prior field‑based or home‑visiting case management experience.
• Knowledge of Medicaid, Medicare, and community‑based resources in Illinois.
• CCM (Certified Case Manager) certification preferred.

Responsibilities

• Completing comprehensive clinical assessments
• Developing and updating individualized care plans
• Providing crisis intervention/follow-up
• Applying clinical criteria and guidelines
• Escalating quality-of-care concerns
• Presenting cases in multidisciplinary rounds
• Documenting and evaluating outcomes in compliance with regulatory and organizational standards
• Actively monitoring member progress toward health and wellness goals.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all 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.

What This Job Offers

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