Case Manager Registered Nurse - Field (Central Illinois- Springfield)

CVS Health•Chalmers, IL

13d•$66,575 - $142,576•Remote

About The Position

Help us elevate our patient care to a whole new level! 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. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting 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
Minimum 3-5 years clinical practical experience
Confidence working at home/independent thinker
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
Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download 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.
Provide your own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
Commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
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.

Nice To Haves

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

Responsibilities

Utilizes critical thinking and judgment to collaborate and inform the case management process.
Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling.
Identifies and assists with accessing benefits and education for members through the use of care management tools and resources.
Travels up to 75% of the time from home location in and around Central Illinois (Sangamon, Macon, McLean, Logan, Christian, Menard, DeWitt etc).
Works from home/independently using tools to collaborate and connect with teams virtually.
Navigates multiple systems and keyboards effectively.
Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications.
Sets up and uses multiple monitors and navigates multiple applications simultaneously.
Communicates on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
Logs in to secure systems (e.g., VPN, EHR portal), locks a computer screen when unattended, manages strong passwords, and recognizes suspicious emails or links.
Resolves 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.