Hybrid Case Manager, Registered Nurse – Field IL

at CVS Health

• Job title: Case Manager, Registered Nurse – Field IL
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $66,575 - $142,576 per year
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Des Plaines, United States

About the role

• Case Manager coordinating healthcare services for members in Cook County, Illinois. Engaging with clients to promote wellness and facilitate access to necessary healthcare services.

Responsibilities

• Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
• Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
• Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.
• Interacts with members/clients telephonically or in person.
• Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
• Communicates with member/client and other stakeholders as appropriate.

Requirements

• Active and unrestricted Registered Nurse License in Illinois.
• Minimum 3-5 years clinical practical experience preference required.
• Minimum 2-3 years CM, discharge planning and/or home health care coordination experience.
• Reliable transportation and willingness to travel up to 75% of the time.
• Excellent analytical and problem-solving skills.
• Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
• Education Associates Required, Bachelor's preferred

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access