Case Manager, Registered Nurse - Field (Winnebago County, IL and surrounding areas)

About the Role

Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.

Responsibilities

• Utilize critical thinking and judgment to collaborate and inform the case management process.
• Facilitate appropriate healthcare outcomes for members by providing assistance with appointment scheduling.
• Identify and assist with accessing benefits and education for members through the use of care management tools and resources.

Requirements

• Must reside in the state of Illinois.
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time from home location in and around Winnebago and surrounding areas, IL. Mileage is reimbursed per company expense reimbursement policy.
• Minimum 3-5 years clinical practical experience.
• Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
• Excellent analytical and problem-solving skills.
• Effective communications, organizational, and interpersonal skills.
• Ability to work independently.
• Effective computer skills including navigating multiple systems and keyboarding.
• Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications.
• Active and unencumbered Registered Nurse license in the state of Illinois.
• Associate's degree required, bachelor's preferred.

Preferred Qualifications

• 2-3 years Care Management, discharge planning and/or home health care coordination experience.
• Certified Case Manager.
• Bilingual.

Work From Home Requirements

• Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer with a minimum download speed of 25 mbs and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure, and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.).
• All new hires should provide their own workspace furniture (desk or standing desk).
• Commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Ability to log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently, such as restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Openness to learning new skills in the future as the workplace environment evolves.

Schedule

• Anticipated Weekly Hours: 40
• Time Type: Full time

Pay

The typical pay range for this role is $66,575.00 - $142,576.00. This 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.

Benefits

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.