Remote Case Manager Nurse — Medicare/Medicaid Care

CVS Health; Batavia (IL); Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Case Management Coordinator to support the Aetna team from a home-based Illinois location. You will collaborate with members, providers, and community organizations to improve healthcare outcomes and address social needs using care management tools.

Responsibilities include scheduling, benefits education, and coordinating resources, while maintaining HIPAA-compliant practices. Strong clinical background and MS Office proficiency are required.

Qualifications

• Must reside in Illinois.
• 3–5 years clinical practical experience.
• Willing to travel up to 50–75% in Kane/DuPage counties and surrounding areas.
• Independent thinker with ability to collaborate virtually.
• Excellent analytical and problem-solving skills.
• Strong communication and organizational abilities.
• Proficient with MS Word, Excel, Outlook and PowerPoint.

Responsibilities

• Collaborate with members, providers, and community organizations to address health and social needs.
• Facilitate scheduling and access to benefits and education via care management tools.
• Inform and influence case management processes using judgment and critical thinking.
• Utilize multiple systems securely to support patient care.

Skills

Analytical skills

Problem-solving

Effective communication

Independent worker

Travel readiness

Team collaboration

Home-based/remote work

Organizational skills

Education

RN license Illinois

Associate's degree

Bachelor's degree preferred

Tools

MS Office 365 (Teams, Outlook, Word, Excel, PowerPoint)

Google Workspace

Job description

CVS Health is seeking a Case Management Coordinator to support the Aetna team from a home-based Illinois location. You will collaborate with members, providers, and community organizations to improve healthcare outcomes and address social needs using care management tools.

Responsibilities include scheduling, benefits education, and coordinating resources, while maintaining HIPAA-compliant practices. Strong clinical background and MS Office proficiency are required.