Case Manager, Registered Nurse

CVS Health Careers

. Coordinate and facilitate comprehensive care for individuals by assessing needs, developing personalized care plans, and coordinating services across healthcare providers .

Posted 10/30/2026full-timeRemote • Illinois • United StatesJuniorMid-Level💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and patient advocacy, with a strong focus on developing personalized care plans and coordinating services across healthcare providers. Proficient in utilizing clinical tools for assessment and evaluation, while ensuring compliance with healthcare regulations and effective communication with stakeholders.

Highest-signal resume keywords

Active RN Licensure In Illinois3+ Years Clinical Practical Experience2+ Years Case Management ExperienceProficiency With Microsoft Office SuiteNational Professional Certification Preferred

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementPatient AdvocacyCare Plan DevelopmentMedical TerminologyAssessment And EvaluationCondition ManagementResource CoordinationHome Health Care CoordinationDischarge PlanningDigital Literacy Skills

Soft Skills

Time ManagementPrioritization SkillsProblem-Solving SkillsTactful CommunicationEthical Handling Of Sensitive Information

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPointMicrosoft Office 365VPN/EHR PortalsProprietary ApplicationsMultiple Monitors Usage

Certifications & Qualifications

Active RN LicensureCompact RN LicensureCRCCDMSCRRNCOHNCCM

Industry Keywords

Chronic Illness ManagementHome HealthPalliative CareMedicare MembersHealthcare CompliancePatient EducationCommunity Resource CoordinationHIPAA Guidelines

About the role

Key responsibilities & impact

Coordinate and facilitate comprehensive care for individuals by assessing needs, developing personalized care plans, and coordinating services across healthcare providers
Advocate for patients and ensure effective communication, resource utilization, and continuous progress monitoring
Act as liaison among members/clients/families, employers, providers, insurers, and healthcare personnel
Coordinate case management activities for catastrophic cases and chronically ill members across the continuum of care
Conduct consultant referrals, home care visits, community resource coordination, and alternative-level-of-care arrangements
Interact with members/clients telephonically or in person, including at homes, worksites, or physician offices
Assess medical and/or vocational status and develop plans of care
Support condition management, wellness, medical outcomes, timely return to work, and optimal functioning
Communicate with members/clients and stakeholders including medical providers, attorneys, employers, and insurance carriers
Prepare required case work documentation
Consult with internal multidisciplinary teams
Contact treating physicians or specialists regarding care and treatment
Provide education and prevention information
Apply laws, regulations, insurer instructions, and referral-source requirements
Evaluate needs and benefit-plan eligibility using clinical tools and data
Monitor progress toward desired outcomes through assessment and evaluation
Develop proactive action plans to improve short- and long-term outcomes

Requirements

What you’ll need

Candidate preferably resides in IL
Active and unrestricted RN licensure in Illinois
Active and unrestricted Compact Registered Nurse (RN) Licensure in their state of residence (IL)
3+ years of clinical practical experience preferred, including diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, or Home Health with Medicare members
2+ years of case management, discharge planning and/or home health care coordination experience
Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications
Ability to work in a fast-paced, high-volume environment
Time management and prioritization skills
Efficient computer skills, including navigating multiple systems and keyboarding
Working knowledge of problem-solving and decision-making skills
Working knowledge of medical terminology
Working knowledge of digital literacy skills
Ability to deal tactfully with customers and community
Ability to handle sensitive information ethically and responsibly
Ability to evaluate relative costs and benefits of potential actions
National professional certification is preferred: CRC, CDMS, CRRN, COHN, or CCM
Bachelor's Degree in Nursing preferred
Associate's Degree in Nursing required
Direct/hardwired internet connection within 7 feet of modem/router, with minimum 25 Mbps download and 3 Mbps upload; WiFi and satellite internet are not permitted
Quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Ability to use multiple monitors and applications
Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 or similar Google Workspace applications
Ability to access secure systems, use VPN/EHR portals, lock screens, manage strong passwords, and recognize suspicious emails or links
Ability to troubleshoot common technical issues
Openness to learning new skills

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Company-provided equipment (keyboard, monitor, computer, headset, etc.)