Registered Nurse Case Manager – Field

CVS Health

. Assess, plan, coordinate, implement, monitor, and evaluate healthcare services for members .

Posted 11/9/2026full-timeChicago • Illinois • United StatesJuniorMid-Level💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, clinical assessment, and case management, with a strong focus on promoting health outcomes and functional independence for members. Proficient in utilizing technology for virtual collaboration and maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Registered Nurse (RN) LicenseClinical Nursing ExperienceCase Management ExperienceStrong Clinical Assessment SkillsExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationDischarge PlanningIndividualized Care PlansComprehensive AssessmentsHealth Outcomes PromotionProblem-Solving SkillsCritical Thinking SkillsMonitoring Member ProgressCompliance with RegulationsDocumentation Management

Soft Skills

Organizational SkillsInterpersonal SkillsAbility to Work IndependentlyEffective CommunicationCollaboration with Interdisciplinary Teams

Tools & Technologies

Microsoft Office 365Google WorkspaceVPN AccessEHR PortalsVirtual Meeting PlatformsEmail CommunicationCalendar ManagementMultiple Monitors UsageTechnical Troubleshooting

Certifications & Qualifications

Active Registered Nurse (RN) License in Illinois

Industry Keywords

Healthcare ServicesChronic ConditionsCommunity ResourcesHIPAA ComplianceHome Health ServicesHealth PlansStakeholder EngagementPatient AdvocacyFunctional IndependenceQuality of Life

About the role

Key responsibilities & impact

Assess, plan, coordinate, implement, monitor, and evaluate healthcare services for members
Partner with members and families to address comprehensive health needs
Develop and implement individualized care plans
Serve as liaison among members, families, providers, employers, health plans, community organizations, and stakeholders
Coordinate care for members with complex, chronic, catastrophic, or acute conditions
Conduct comprehensive medical, functional, psychosocial, and environmental assessments
Facilitate access to healthcare services, community resources, home health services, and alternative levels of care
Engage members by phone and through in-person visits in homes, provider offices, or community settings
Collaborate with interdisciplinary care teams
Communicate treatment plans, progress, and care needs to providers, members, caregivers, and stakeholders
Educate members and families on disease management, prevention, benefits, and community resources
Conduct provider outreach to support care coordination and treatment planning
Monitor member progress and adjust care plans to achieve desired outcomes
Maintain case management documentation according to organizational, regulatory, and accreditation requirements
Ensure compliance with applicable laws, regulations, policies, and case management standards
Promote health outcomes, functional independence, and quality of life through intervention and advocacy

Requirements

What you’ll need

Must reside in Cook County and be able to service members in Cook County and surrounding areas
Active and unrestricted Registered Nurse (RN) license in Illinois
Reliable transportation
Willing and able to travel up to 50-75% of the time
Minimum of 3-5 years of clinical nursing experience
Minimum of 2-3 years of experience in case management, discharge planning, care coordination, or home health
Strong clinical assessment, critical thinking, and problem-solving skills
Excellent communication, organizational, and interpersonal skills
Ability to work independently and effectively in a remote environment
Comfortable using technology to collaborate virtually with interdisciplinary teams
Associate or bachelor’s degree in nursing from an accredited institution
Direct/hardwired internet connection to a modem/router within 7 feet of the computer
Minimum internet speed of 25 Mbps download and 3 Mbps upload
Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently residing
Must provide workspace furniture
Microsoft Office 365 or similar Google Workspace experience
Ability to use multiple monitors and navigate multiple applications
Ability to use email, calendar invites, Teams messaging, and virtual meetings
Ability to access secure systems such as VPN and EHR portals
Ability to manage strong passwords and recognize suspicious emails or links
Ability to troubleshoot common technical issues independently

Benefits

Comp & perks

Mileage is reimbursed per company expense reimbursement policy
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program in addition to base pay