Registered Nurse Case Manager - Field in West Chicago

Registered Nurse Case Manager Field

Location: West Side of Chicago, IL

Company: Aetna, a CVS Health Company

Make a meaningful impactright where care happens.

Join Aetna's Long-Term Services & Supports (LTSS) team as a Case Manager RN, where you'll play a vital role in improving health outcomes for members in your community. This is a field-based position, giving you the opportunity to build relationships, advocate for members, and deliver personalized, holistic care.

About the Role:

As a Clinical Case Manager RN, you will manage a full caseload of waiver/LTSS members, providing hands-on care coordination, education, and support. This role requires 5075% travel within the west side of Chicago and nearby areas, including quarterly in-person visits with members.

You'll use your clinical expertise to assess needs, coordinate services, and help members navigate the healthcare system, ensuring the right care at the right time.

What You'll Do:

Member Assessment & Care Planning

• Conduct comprehensive evaluations of members' health needs using care management tools and data analysis
• Identify risk factors and service needs affecting outcomes
• Develop, coordinate, and implement individualized care plans
• Connect members with internal resources and community-based services

Care Coordination & Advocacy:

• Collaborate with interdisciplinary teams, including Medical Directors and care managers
• Facilitate case conferences to ensure optimal care outcomes
• Advocate for appropriate services and remove barriers to care
• Use motivational interviewing techniques to drive member engagement and behavior change

Quality & Outcomes Improvement

• Monitor care plans and adjust as needed
• Identify and escalate quality-of-care concerns
• Empower members to actively participate in healthcare decisions
• Support members in achieving long-term health and lifestyle goals

Compliance & Documentation

• Ensure all activities align with regulatory, accreditation, and company standards
• Maintain accurate and timely documentation

Required Qualifications:

• Active Registered Nurse (RN) license in Illinois
• Must live on the west side of Chicago or surrounding areas in Illinois
• Valid Illinois driver's license and reliable transportation (mileage reimbursed)
• Willingness to travel up to 75% locally for in-person member visits
• Minimum 2 years of case management experience
• Proficiency with Microsoft Office and electronic health records

Specialized Experience (for HIV/AIDS Waiver Support)

Candidates should have experience working with diverse and underserved populations, including:

• Racial and ethnic minority communities
• Individuals experiencing domestic abuse
• LGBTQ+ individuals
• Persons living with HIV/AIDS (required for this position)
• Individuals with substance use disorders

Preferred Qualifications:

• Experience in case management and discharge planning
• Background in managed care
• Experience supporting individuals living with HIV/AIDS
• Bilingual or multilingual skills

Education:

• Bachelor's degree in nursing, social work, social sciences, or counseling preferred
• Associate degree is accepted with at least 2 years of case management experience

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $66,575.00 - $142,576.00

This 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 people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.