Care Manager Registered Nurse - Field (Champaign, Vermillion, Ford Counties, IL)

CVS Health • Champaign, IL

1d • Remote

About The Position

CVS Health is hiring a Care Manager Registered Nurse for its Aetna team, serving dual-eligible members enrolled in Medicare and Medicaid who may have complex health and social needs. The role collaborates with members, providers, and community organizations to address healthcare and social determinant needs.

The Case Management Coordinator uses critical thinking and judgment to support the case management process and facilitate appropriate healthcare outcomes. This includes helping members schedule appointments, access benefits, and obtain education through care management tools and resources. The role is home-based in Illinois and requires travel throughout East Central Illinois, including Champaign, Vermilion, Ford, Piatt, Douglas, Coles, and Edgar counties. Mileage is reimbursed under company policy.

The employee must meet CVS Health’s work-from-home requirements, including maintaining a quiet, secure, private workspace and a qualifying hardwired internet connection. The company provides work equipment; the employee provides workspace furniture. The position is full-time, with 40 anticipated weekly hours. The role is eligible for a bonus, commission, or short-term incentive program in addition to base pay. The stated pay range is $66,575 to $142,576.

Requirements

• Must reside in Illinois and work from the state and city where currently living.
• Must have reliable transportation and be willing and able to travel 50–75% of the time in and around East Central Illinois; mileage is reimbursed under company policy.
• Minimum 3–5 years of clinical practical experience.
• Active, unencumbered Registered Nurse license in Illinois.
• Associate's degree required; bachelor's degree preferred.
• Confidence working independently from home and collaborating with teams virtually.
• Strong analytical and problem-solving skills.
• Effective communication, organizational, and interpersonal skills.
• Effective computer skills, including navigating multiple systems and keyboarding.
• Proficiency with standard corporate software, including Microsoft Word, Excel, Outlook, and PowerPoint, and some proprietary applications.
• Must have or obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with minimum speeds of 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
• Must maintain a quiet, secure, private, tidy, organized home workspace compliant with CVS Health and HIPAA guidelines and suitable for uninterrupted work.
• Must provide workspace furniture, such as a desk or standing desk, and be able to work at a desk for extended periods.
• Ability to set up and use multiple monitors and navigate multiple applications simultaneously.
• Ability to use digital communication tools such as email, calendar invites, Teams messaging, and virtual meetings.
• Ability to use Microsoft Office 365 applications or similar tools such as Google Workspace.
• Ability to access secure systems such as VPN and EHR portals, lock an unattended computer, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently and contact IT for issues that cannot be resolved.

Nice To Haves

• 2–3 years of care management, discharge planning, and/or home health care coordination experience.
• Certified Case Manager credential.
• Bilingual ability.
• Bachelor's degree preferred.

Responsibilities

• Use critical thinking and judgment to collaborate in and inform the case management process.
• Facilitate appropriate healthcare outcomes for members.
• Assist members with appointment scheduling.
• Identify and help members access benefits and education using care management tools and resources.
• Collaborate with members, providers, and community organizations to address healthcare and social determinant needs.
• Travel from the home location to serve communities in East Central Illinois.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support colleagues’ physical, emotional, and financial well-being, based on eligibility
• Bonus, commission, or short-term incentive program eligibility
• Company-provided work equipment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree