Case Manager, Registered Nurse (Field Mt. Prospect, IL and surrounding areas)

CVS Health is a leading healthcare company dedicated to building a world of health around every individual by shaping a more connected, convenient, and compassionate healthcare experience. As a recognized innovator in the health services sector, CVS Health prioritizes safety, quality, and accountability in all its operations. The company prides itself on a team of passionate colleagues who are committed to making a meaningful impact on the lives of customers, patients, and communities by simplifying healthcare, one person, one family, and one community at a time.

CVS Health is currently seeking a dedicated Case Management Coordinator to join its Aetna team, which is an industry leader in serving dual eligible populations. This role focuses on individuals who are enrolled in both Medicare and Medicaid and who face complex health and social challenges. Candidates for this role must reside in or near Mt. Prospect or surrounding areas in Illinois, as the position requires travel up to 75% of the time within these regions. The Case Management Coordinator will work remotely but must have a dedicated and interruption-free workspace to ensure productivity and effective communication.

As a Case Management Coordinator, you will utilize critical thinking and sound judgment to support and advance the case management process. Your responsibilities will include collaborating closely with members, healthcare providers, and community organizations to facilitate appropriate healthcare outcomes. This role involves assisting members with appointment scheduling, identifying and helping them access benefits, and providing education using care management tools and resources. The coordinator must effectively manage the full continuum of care and address social determinants that impact member health.

The ideal candidate will possess 3-5 years of clinical practical experience and demonstrate proficiency with standard corporate software applications such as MS Word, Excel, Outlook, and PowerPoint, as well as a variety of proprietary systems. Independent work skills, excellent communication, analytical problem-solving capabilities, and organizational talents are essential for success in this position. Candidates must have reliable transportation to accommodate frequent travel and must be confident working in a remote environment, effectively collaborating with teams through virtual tools.

This full-time position offers a competitive compensation package with a pay range of $66,575 to $142,576 annually, depending on experience, education, and location. In addition to the base salary, the role is eligible for bonuses and short-term incentives. CVS Health supports its colleagues with a comprehensive benefits package, including medical, dental, vision insurance, paid time off, retirement savings options, and wellness programs designed to support holistic wellbeing.

Candidates who bring additional experience in care management, discharge planning, or home healthcare coordination are strongly preferred. Certification as a Case Manager and bilingual skills are also advantageous. An associate's degree is required, and a bachelor's degree is preferred alongside an active and unencumbered Registered Nurse license in the state of Illinois.

Joining CVS Health means being part of a company that values diversity and inclusion, aiming to foster a workplace where every team member feels valued and empowered. If you are a compassionate healthcare professional eager to make a life-changing difference for vulnerable populations, in a dynamic and supportive environment, this opportunity with CVS Health's Aetna team is an excellent fit for your career aspirations.