Care Manager Registered Nurse - Field (North/Northwest Suburbs of Chicago, IL)

CVS Health•Chicago, IL

1d•Hybrid

About The Position

CVS Health’s Aetna team is seeking a Care Manager Registered Nurse to serve members enrolled in Medicare and Medicaid who have complex health and social challenges. The role uses compassionate communication and collaboration 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 receive education through care management tools and resources. The role is based from home in Illinois and requires travel throughout the North/Northwest Suburbs of Chicago, with mileage reimbursed under the company expense policy. The position requires a private, secure home workspace compliant with CVS Health and HIPAA guidelines, a direct wired internet connection meeting specified speed requirements, and the ability to use multiple applications and communication tools. CVS Health provides computer equipment and related devices; employees provide their own workspace furniture. The position is full-time, 40 hours per week, and is eligible for a CVS Health 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 within the state and city where the employee has confirmed they currently live.
Must have an active, unencumbered Registered Nurse license in Illinois.
Associate’s degree required; bachelor’s degree preferred.
Minimum 3–5 years of clinical practical experience.
Must have reliable transportation and be willing and able to travel up to 50–75% of the time from the home location in and around the North/Northwest Suburbs of Chicago.
Ability to work independently and confidently from home, think independently, and collaborate with teams virtually.
Excellent 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 MS Word, Excel, Outlook, and PowerPoint, and some proprietary applications.
Must have or be able to 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, organized home work location that is free from distractions, compliant with CVS Health and HIPAA guidelines, and supports uninterrupted work during work hours.
Must provide workspace furniture, such as a desk or standing desk, and be able to work at a desk for extended periods.
Must be comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
Ability to use digital communication channels, including email, calendar invitations, 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 the computer when unattended, manage strong passwords, and recognize suspicious emails or links.
Ability to troubleshoot common technical issues, such as restarting frozen applications and resolving internet connection problems.
Openness to learning new skills as the workplace environment evolves.

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.

Responsibilities

Collaborate and use critical thinking and judgment to inform the case management process.
Facilitate appropriate healthcare outcomes for members.
Assist members with appointment scheduling.
Identify and assist members with accessing benefits.
Provide education to members using care management tools and resources.
Collaborate with members, providers, and community organizations to address healthcare and social determinant needs.
Travel to locations in and around the North/Northwest Suburbs of Chicago, with travel expected up to 50–75% of the time.
Use digital communication and collaboration tools and navigate multiple applications and secure systems.
Resolve common technical issues independently and contact IT for issues that cannot be resolved.