Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)

CVS Health is a leading healthcare innovation company dedicated to building a world of health around every individual. By shaping a more connected, convenient, and compassionate health experience, CVS Health prioritizes safety, quality, and accountability in all aspects of its operations. The company employs passionate colleagues who care deeply about making a difference and are committed to simplifying healthcare for individuals, families, and communities nationwide. As a CVS Health company, Aetna focuses on transforming health care through innovations that make quality care more accessible, easier to use, and patient-focused. The organization champions diversity and inclusion, supporting military veterans and spouses in their employment journey. This rich culture and strong mission propel CVS Health and Aetna as leaders in healthcare provision and support services.

The Long-Term Services and Supports Registered Nurse (LTSS RN) Case Manager role based at Aetna is a full-time, remote position with flexible work arrangements and requires 25-50% travel within Wayne and Macomb Counties. This role primarily works standard business hours Monday through Friday and offers a 4-day/10-hour work schedule option after training. The LTSS RN Case Manager is responsible for conducting comprehensive in-home assessments, care planning, coordination, implementation, and monitoring of long-term services and supports for dual-eligible Medicare and Medicaid members. This vital role aims to ensure members receive appropriate waiver and community-based services to enhance safety, independence, and health outcomes while ensuring compliance with all state and federal regulations.

The position demands a Registered Nurse licensed in Michigan with clinical experience, especially in case management, home health, or long-term care, and familiarity with Medicare and Medicaid populations. The RN Case Manager conducts thorough functional assessments, evaluates eligibility for waiver services, and develops personalized, person-centered care plans addressing medical, behavioral, functional, and social determinant needs. Collaboration with interdisciplinary teams, providers, home health agencies, community organizations, and behavioral health professionals is crucial for coordinated care. The RN Case Manager also monitors member progress, reassesses needs, and applies clinical judgment to minimize hospitalizations and care barriers.

This work-from-home role requires candidates to maintain a dedicated workspace free from interruptions, and adequate care arrangements for dependents during work hours. The role offers a competitive salary range of $60,522 to $129,615 annually, depending on experience, education, geography, and other factors. Full-time employees benefit from a comprehensive package that includes medical, dental, vision coverage, paid time off, retirement savings options, and wellness programs. By joining Aetna, a CVS Health company, RN Case Managers have the opportunity to make a significant life-changing impact on vulnerable populations by delivering compassionate, quality care and improving overall health outcomes.