Case Manager, Registered Nurse - Field (Cook County, Illinois) at CVS Health

Schaumburg, Illinois, United States

Apply Now

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Registered Nurse (RN) license required
Must live in or near Elk Grove Village, Des Plaines, Park Ridge, Bensenville, Carol Stream, Hanover Park, Itasca, Medinah, Schaumburg, Hoffman Estates, Wooddale, Norwood Park, or Edison Park
Ability to work from home with 50-75% travel within Cook County, IL and surrounding area
Availability for standard business hours Monday-Friday 8:00am-5:00pm EST

Responsibilities

Act as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
Implement and coordinate case management activities for catastrophic cases and chronically ill members/clients across the continuum of care, including consultant referrals, home care visits, community resources, and alternative levels of care
Interact with members/clients telephonically or in person, including meetings in homes, worksites, or physician’s offices to provide ongoing case management services
Assess and analyze injured, acute, or chronically ill members/clients' medical and/or vocational status; develop a plan of care to facilitate appropriate condition management, optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determine eligibility for benefits
Communicate with member/client and stakeholders (e.g., medical providers, attorneys, employers, insurance carriers) telephonically or in person
Prepare all required documentation of case work activities
Interact and consult with internal multidisciplinary team to help member/client maximize best health outcomes
Make outreach to treating physician or specialists concerning course of care and treatment as appropriate
Provide educational and prevention information for best health outcomes
Facilitate delivery of appropriate benefits and/or healthcare information, promote wellness activities, and support health strategies, tactics, policies, and programs

Skills

Key technologies and capabilities for this role

Registered NurseCase ManagementPatient CareHealthcare CoordinationMedicareMedicaidWellness ProgramsClinical Models

Questions & Answers

Common questions about this position

Is this a remote position, and what travel is required?

This role is work at home with 50-75% travel within Cook County, IL and surrounding area. Candidates must live in or near specific locations including Elk Grove Village, Des Plaines, Park Ridge, Bensenville, Carol Stream, Hanover Park, Itasca, Medinah, Schaumburg, Hoffman Estates, Wooddale, Norwood Park, and Edison Park.

What is the schedule for this Case Manager role?

The schedule is standard business hours Monday-Friday from 8:00am-5:00pm EST.

What qualifications are needed for this Registered Nurse Case Manager position?

This information is not specified in the job description.

What is the salary or compensation for this role?

This information is not specified in the job description.

What does the company culture emphasize for this team?

CVS Health emphasizes building a world of health with dedicated, purpose-driven colleagues passionate about transforming health care in a connected, convenient, and compassionate way, focusing on collaborative care for dual eligible populations with complex needs.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

Land your dream remote job 3x faster with AI

Try Jobo Free