Registered Nurse Case Manager - Field in West Chicago

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 field‑based position requires 50–75% 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 health care 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, and 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 address quality‑of‑care concerns; empower members to actively participate in health care 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. 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. Experience working with diverse and underserved populations, including racially and ethnically diverse communities, individuals experiencing domestic abuse, LGBTQ+ individuals, persons living with HIV/AIDS (required for this position), and 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 accepted with at least 2 years of case management experience. Job Details Anticipated Weekly Hours: 40 hours. Time Type: Full time. Pay Range: $66,575.00 – $142,576.00 (base salary; actual offer depends on experience, geography, and other factors). The position is eligible for CVS Health bonus, commission, or short‑term incentive program. Benefits This role offers a comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources. Equal Opportunity Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. #J-18808-Ljbffr