Case Manager Registered Nurse - Field (Cook County)

4004 Aetna Medicaid Administrators; Illinois; Remote; USD 67,000 - 143,000; Full time

Job summary

CVS Health, including the Aetna team, seeks a Case Management Coordinator to support members with scheduling, benefits access and education, using care management tools. You will collaborate with members, providers and community partners to improve health outcomes while working from home in Illinois.

The role requires IL residency, travel up to 50-75% from home in Cook County and surrounding areas, 3–5 years clinical experience, strong analytical and communication skills, and proficiency with MS

Qualifications

• Must reside in Illinois
• Willingness to travel 50-75% within Cook County and surrounding areas in Illinois
• Minimum 3–5 years clinical practical experience
• Excellent analytical and problem‑solving skills
• Effective communication, organizational and interpersonal skills
• Ability to work independently
• Proficient with standard corporate software including Word, Excel, Outlook and PowerPoint, plus some proprietary applications

Responsibilities

• Collaborate and inform the case management process to support appropriate healthcare outcomes
• Assist with appointment scheduling and accessing benefits and education for members
• Utilize care management tools and resources to support members and providers
• Communicate effectively with members, providers and community organizations

Skills

Analytical skills

Problem-solving

Communication skills

Organizational skills

Interpersonal skills

Independent work

Education

RN license in Illinois

Bachelor's degree preferred

Associate's/Bilingual Ed degree

Tools

MS Word

Excel

Outlook

PowerPoint

Proprietary systems

Job description

Intro

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Program Overview: *Candidates must live in or near Cook County and surrounding areas in IL* 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.

Position Summary

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

Required Qualifications

• Must reside in the state of Illinois
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time from home location in and around Cook County and surrounding areas in Illinois. Mileage is reimbursed per our company expense reimbursement policy
• Minimum 3-5 years clinical practical experience
• Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
• 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

Preferred Qualifications

• 2-3 years Care Management, discharge planning and/or home health care coordination experience
• Certified Case Manager
• Bilingual Education Associate's degree required, Bachelor's preferred, along with active and unencumbered Registered Nurse license in the state of Illinois

Work from Home Requirements

• You 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.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security: 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.
• Troubleshooting & Support: 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.
• Future Growth: Openness to learning new skills in the future as the workplace environment evolves

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Benefits

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.