Care Manager RN - Field-Based (South-Central Illinois)

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Territory Assignment : This is a field-based role supporting members across south-central Illinois, including Christian, Jefferson, Madison, and Lawrence Counties. Candidates should reside centrally within this region to ensure timely access to members for in-person case management activities. Travel throughout the assigned territory is required to conduct home visits, attend interdisciplinary care team meetings, collaborate with providers, and engage with community resources.Program Overview : Join Aetna's growing team serving dual-eligible populations through the Dual Special Needs Plan (D-SNP FIDE). Our integrated care model addresses both medical and social determinants of health, supporting members with complex needs through compassionate, coordinated care. This role offers the opportunity to make a meaningful impact in underserved communities across Illinois.Position Summary : The 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. The role involves both telephonic and in-person engagement, with a strong emphasis on field-based case management.Key Responsibilities : Conduct in-home assessments and care coordination visits within Christian, Jefferson, Madison, Lawrence, and surrounding counties.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 Expectations : Regular travel throughout the assigned counties is required.Reliable transportation and a valid driver's license are necessary.Mileage reimbursement provided per company policy.Required Qualifications : Active, unrestricted RN license in the state of Illinois.Minimum 3-5 years of clinical experience.At least 2 years of experience 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 Qualifications : BSN degree.Certified Case Manager (CCM) credential.Experience working with dual-eligible populations or in managed care settings.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is : $66,575.00 - $142,576.00This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include : Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visit https : / / jobs.cvshealth.com / us / en / benefitsWe anticipate the application window for this opening will close on : 11 / 18 / 2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.