Care Manager RN

3 weeks ago


Springfield, United States CVS Health Full time

Care Manager RN - Field-Based (South-Central Illinois)As a field-based Care Manager RN at CVS Health, you’ll serve dual-eligible members across South-Central Illinois, including Christian, Jefferson, Madison, and Lawrence Counties. You will coordinate care, develop individualized plans, and collaborate with providers and community resources to improve member outcomes and reduce costs.Territory AssignmentField-based role supporting members across Southern Illinois counties (Christian, Jefferson, Madison, Lawrence).Candidates should reside centrally within the region for timely access to members.Regular travel throughout the assigned territory for home visits, multidisciplinary care team meetings, and community engagement.Program OverviewProviding integrated care to dual-eligible populations through the Dual Special Needs Plan (D‑SNP FIDE).Addressing medical and social determinants of health with a compassionate, coordinated model.Position SummaryThe Care Manager RN applies a collaborative process of assessment, planning, facilitation, and advocacy to meet members’ health needs. Responsibilities include coordinating services, evaluating outcomes, and promoting wellness and cost‑effective care, with a strong emphasis on field‑based case management.Key ResponsibilitiesConduct in‑home assessments and care coordination visits.Develop individualized care plans addressing medical, behavioral, and social needs.Collaborate with providers, caregivers, and community organizations.Monitor member progress and adjust care plans as needed.Document case management activities in compliance with regulatory and company standards.Participate in interdisciplinary team meetings and contribute to integrated care strategies.Travel ExpectationsRegular travel required across the assigned counties.Reliable transportation and a valid driver’s license are necessary.Mileage reimbursement provided per company policy.Required QualificationsActive, unrestricted RN license in the state of Illinois.Minimum 3–5 years of clinical experience.At least 2 years in case management, discharge planning, or home health coordination.Comfortable working independently and virtually.Proficient in Microsoft Office Suite and virtual collaboration tools (Teams, Outlook, etc.).Strong communication, organizational, and problem‑solving skills.Preferred QualificationsBSN degree.Certified Case Manager (CCM) credential.Experience with dual‑eligible populations or managed care settings.Anticipated Weekly Hours 40Time Type Full timePay Range $66,575.00 – $142,576.00Great Benefits for Great PeopleAffordable medical plan options, 401(k) plan with matching, and employee stock purchase plan.No‑cost programs: wellness screenings, tobacco cessation, weight management, counseling, financial coaching.Benefit solutions addressing diverse needs: paid time off, flexible schedules, family leave, dependent care, colleague assistance, tuition assistance, retiree medical access.We anticipate the application window for this opening will close on: 11/18/2025.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr


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