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

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 SummaryJoin 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). Responsibilities include 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, and actively monitoring member progress toward health and wellness goals.Required QualificationsMust 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.Preferred QualificationsPrior 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.EducationRegistered Nurse (RN) Licensure.Associates Degree in Nursing required.Bachelors of Science and Nursing strongly preferred.Case Management certification (e.g., CCM) preferred.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$66,575.00 - $142,576.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base 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 peopleWe 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 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.For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 04/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.