<p>We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Registered Nurse Case Manager - Field Location: West Side of Chicago, ILCompany: Aetna, a CVS Health CompanyMake a meaningful impact-right 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 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 healthcare system, ensuring the right care at the right time.What You'll Do:Member Assessment & Care PlanningConduct comprehensive evaluations of members' health needs using care management tools and data analysisIdentify risk factors and service needs affecting outcomesDevelop, coordinate, and implement individualized care plansConnect members with internal resources and community-based servicesCare Coordination & Advocacy:Collaborate with interdisciplinary teams, including Medical Directors and care managersFacilitate case conferences to ensure optimal care outcomesAdvocate for appropriate services and remove barriers to careUse motivational interviewing techniques to drive member engagement and behavior changeQuality & Outcomes ImprovementMonitor care plans and adjust as neededIdentify and escalate quality-of-care concernsEmpower members to actively participate in healthcare decisionsSupport members in achieving long-term health and lifestyle goalsCompliance & DocumentationEnsure all activities align with regulatory, accreditation, and company standardsMaintain accurate and timely documentationRequired Qualifications:Active Registered Nurse (RN) license in IllinoisMust live on the west side of Chicago or surrounding areas in IllinoisValid Illinois driver's license and reliable transportation (mileage reimbursed)Willingness to travel up to 75% locally for in-person member visitsMinimum 2 years of case management experienceProficiency with Microsoft Office and electronic health recordsSpecialized Experience (for HIV/AIDS Waiver Support)Candidates should have experience working with diverse and underserved populations, including one or more of the following:Racial and ethnic minority communitiesIndividuals experiencing domestic abuseLGBTQ+ individualsPersons living with HIV/AIDS (required for this position)Individuals with substance use disordersPreferred Qualifications:Experience in case management and discharge planningBackground in managed careExperience supporting individuals living with HIV/AIDSBilingual or multilingual skillsEducation:Bachelor's degree in nursing, social work, social sciences, or counseling preferredAssociate degree is accepted with at least 2 years of case management experienceAnticipated 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 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.Additional details about available benefits are provided during the application process and on Benefits Moments.We anticipate the application window for this opening will close on: 07/04/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p>