Remote RN Care Manager for Medicare/Medicaid Coordination

CVS Health Corporation; Rock Island (IL); Remote; USD 67,000 - 143,000; Full time

Job summary

CVS Health is hiring a Case Management Coordinator to support Aetna members with Medicare and Medicaid needs. The role focuses on scheduling, benefits access, and member education within a remote home office in Illinois. Strong collaboration with providers and community partners is expected.

You will use care management tools to inform decision-making, coordinate services, and improve patient outcomes while maintaining HIPAA compliance and high-quality communication with diverse teams.

Qualifications

• Associate's degree required, bachelor's preferred.
• Active and unencumbered Registered Nurse license in Illinois.
• 3-5 years clinical practical experience.
• Excellent analytical and problem-solving skills.
• Effective communications, organizational, and interpersonal skills.

Responsibilities

• Facilitate healthcare outcomes by assisting with appointment scheduling and care management resources.
• Identify and assist with accessing benefits and education for members using care management tools.

Skills

Analytical skills

Problem-solving

Communication skills

Organizational skills

Independent worker

Computer skills

MS Office

Travel up to 75%

Education

Associate's degree

Bachelor's degree

Tools

MS Word

Excel

Outlook

PowerPoint

EHR portal

VPN

Job description

CVS Health is hiring a Case Management Coordinator to support Aetna members with Medicare and Medicaid needs. The role focuses on scheduling, benefits access, and member education within a remote home office in Illinois. Strong collaboration with providers and community partners is expected.

You will use care management tools to inform decision-making, coordinate services, and improve patient outcomes while maintaining HIPAA compliance and high-quality communication with diverse teams.