Registered Nurse Case Manager - Field in West Chicago
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. Registered Nurse Case Manager – Field Location: West Side of Chicago, IL and surrounding areas Zip Codes:60610,60624,60636,60644,60608, Additional Cities: Oak Park, Ellwood, Berwin Company: Aetna, a CVS Health Company Make a meaningful impact—right where care happens. Join Aetna’s Long-Term Services & Supports (LTSS) team as a Case Manager RN, where you’ll play a vital role in improving health outcomes for members in your community. This is a field-based position, giving you the opportunity to build relationships, advocate for members, and deliver personalized, holistic care. About the Role: As a Clinical Case Manager RN, you will manage a full caseload of waiver/LTSS members, providing hands-on care coordination, education, and support. This role requires 50–75% travel within the west side of Chicago and nearby areas, including quarterly in-person visits with members. You’ll use your clinical expertise to assess needs, coordinate services, and help members navigate the healthcare system, ensuring the right care at the right time.
Requirements
- Active Registered Nurse (RN) license in Illinois
- Must live on the west side of Chicago or surrounding areas in Illinois
- Valid Illinois driver’s license and reliable transportation (mileage reimbursed)
- Willingness to travel up to 75% locally for in-person member visits
- Minimum 2 years of case management experience
- Proficiency with Microsoft Office and electronic health records
- Experience working with diverse and underserved populations, including one or more of the following: Racial and ethnic minority communities, Individuals experiencing domestic abuse, LGBTQ+ individuals, Persons living with HIV/AIDS (required for this position), Individuals with substance use disorders
Nice To Haves
- Experience in case management and discharge planning
- Background in managed care
- Experience supporting individuals living with HIV/AIDS
- Bilingual or multilingual skills
Responsibilities
- Conduct comprehensive evaluations of members’ health needs using care management tools and data analysis
- Identify risk factors and service needs affecting outcomes
- Develop, coordinate, and implement individualized care plans
- Connect members with internal resources and community-based services
- Collaborate with interdisciplinary teams, including Medical Directors and care managers
- Facilitate case conferences to ensure optimal care outcomes
- Advocate for appropriate services and remove barriers to care
- Use motivational interviewing techniques to drive member engagement and behavior change
- Monitor care plans and adjust as needed
- Identify and escalate quality-of-care concerns
- Empower members to actively participate in healthcare decisions
- Support members in achieving long-term health and lifestyle goals
- Ensure all activities align with regulatory, accreditation, and company standards
- Maintain accurate and timely documentation
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
