Remote RN Care Manager - Medicare/Medicaid Coordination

4004 Aetna Medicaid Administrators; Chicago (IL); Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision coverage

Paid time off

Retirement benefits

Wellness programs

Job summary

CVS Health is seeking a Case Management Coordinator to elevate patient care for dual eligible members in Illinois. You will collaborate with members, providers, and community organizations to connect benefits and education while ensuring HIPAA-compliant care. The role involves scheduling, care coordination, and use of care management tools.

Expected travel is up to 75% from home; strong analytical skills and an independent work style are essential for success in this role within our Aetna team.

Qualifications

• Minimum 3-5 years clinical practical experience.
• Must reside in Illinois and travel up to 75%.
• Independent thinker with analytical skills and problem-solving abilities.
• Proficient with MS Word, Excel, Outlook and PowerPoint.
• Excellent communication, organizational and interpersonal skills.

Responsibilities

• Assist with appointment scheduling and benefits education for members.
• Collaborate with members, providers and community organizations to address care needs.
• Facilitate the case management process using care management tools and resources.
• Support coordination for dual eligible populations within Medicare and Medicaid.

Skills

Analytical skills

Problem-solving

Communication skills

Organizational skills

Interpersonal skills

Independent work

Education

Certified Case Manager

Bilingual Education Associate's degree

Bachelor's degree preferred

Tools

MS Word

Excel

Outlook

PowerPoint

EHR portal

Job description

CVS Health is seeking a Case Management Coordinator to elevate patient care for dual eligible members in Illinois. You will collaborate with members, providers, and community organizations to connect benefits and education while ensuring HIPAA-compliant care. The role involves scheduling, care coordination, and use of care management tools.

Expected travel is up to 75% from home; strong analytical skills and an independent work style are essential for success in this role within our Aetna team.