Case Manager, Registered Nurse - Field - Rock , Mercer, Whiteside

Overview

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.

Our Case Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost‑effective outcomes.

• Act as liaison with members, employers, providers, insurance companies and other stakeholders.
• Implement and coordinate all case‑management activities for catastrophic and chronically ill members/clients across the continuum of care, including referrals, home‑care visits, community resources and alternative levels of care.
• Conduct assessments and analyze medical and vocational status to develop a plan of care that facilitates optimal wellness and medical outcomes, and helps members return to work or function at baseline.
• Communicate with members and stakeholders telephonically or in person; maintain documentation of case‑work activities.
• Consult with internal multidisciplinary teams and outreach to treating physicians or specialists as appropriate.
• Provide education, prevention information and support for best medical outcomes.
• Apply all relevant laws, regulations and company policies to rehabilitation services and benefit eligibility.
• Monitor member progress toward desired outcomes through assessment and evaluation.

• Must reside in Rock Island, Mercer, Whiteside or surrounding counties.
• Ability to travel up to 50–75% of time within the designated geographic area.
• Active and unrestricted Illinois Registered Nurse (RN) license.
• 3–5 years clinical practical experience.
• Confidence working independently and with virtual collaboration tools.
• Excellent analytical and problem‑solving skills.
• Effective communication, organizational and interpersonal skills.
• Ability to work independently.
• Proficiency with Microsoft Word, Excel, Outlook, PowerPoint and proprietary applications.

• Certified Case Manager (CCM).
• 2–3 years care‑management, discharge‑planning and/or home‑health care coordination experience.

• Associate’s Degree in Nursing (REQUIRED).
• Bachelor’s Degree in Nursing (PREFERRED).
• Active and unrestricted Illinois Registered Nurse (RN) license.

Anticipated weekly hours: 40 hours. Full‑time Position. Pay range: $66,575.00 – $ annually, inclusive of base salary, bonus and incentive programs. Eligible for comprehensive benefits package including medical, dental, vision, paid time off, retirement savings, wellness programs and other resources.