Case Manager Registered Nuse - Field (Kane and DuPage counties, IL)

CVS Health•Chicago, IL

12h•Hybrid

About The Position

CVS Health is hiring a field Case Manager Registered Nurse for Kane and DuPage counties and surrounding areas in Illinois. The role supports Aetna members enrolled in Medicare and Medicaid who have complex health and social 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 position requires substantial travel from the employee’s home location and is primarily supported by a designated home virtual work location. The company provides work equipment, while employees provide their own workspace furniture and meet specified home-office, internet, security, and technical requirements.

Requirements

Must reside in Illinois and work within the state and city where currently living.
Must have reliable transportation and be willing and able to travel up to 50–75% of the time in Kane and DuPage counties and surrounding areas; mileage is reimbursed under the company expense policy.
Minimum 3–5 years of clinical practical experience.
Confidence working from home as an independent thinker and using tools to collaborate and connect with teams virtually.
Excellent analytical and problem-solving skills.
Effective communication, organizational, and interpersonal skills.
Ability to work independently.
Effective computer skills, including navigating multiple systems and keyboarding.
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, and some proprietary applications.
Associate's degree required.
Active, unencumbered Registered Nurse license in Illinois.
Must have or obtain a direct, hardwired internet connection to a modem/router within 7 feet of the computer, with at least 25 Mbps download and 3 Mbps upload; Wi-Fi and satellite internet are not permitted.
Must maintain a quiet, secure, private, organized designated home work location that is free from distractions, follows CVS Health and HIPAA guidelines, and allows uninterrupted work during work hours.
Must provide workspace furniture, such as a desk or standing desk, and meet work-from-home requirements.
Must be comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
Must be able to communicate via email, calendar invitations, Teams messaging, and virtual meetings.
Must have experience with Microsoft Office 365 applications or similar tools such as Google Workspace.
Must be able to access secure systems such as VPN and EHR portals, lock an unattended computer, manage strong passwords, and recognize suspicious emails or links.
Must be able to resolve common technical issues independently and contact IT for issues that cannot be resolved.
Must be open to learning new skills as the workplace environment evolves.

Nice To Haves

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

Responsibilities

Collaborate in and inform the case management process using critical thinking and judgment.
Facilitate appropriate healthcare outcomes for members.
Assist members with appointment scheduling.
Identify and assist members with accessing benefits.
Provide member education using care management tools and resources.
Travel from the home location throughout Kane and DuPage counties and surrounding areas, as required.