Remote RN Care Manager: Transitions of Care

4004 Aetna Medicaid Administrators

Illinois

Hybrid

USD 67,000 - 143,000

Full time

5 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
PTO
Retirement plan
Wellness programs

Job summary

CVS Health is seeking a Transition of Care Case Manager (RN) to support high‑risk, medically complex members in Illinois. You will develop and implement individualized care plans, coordinate with interdisciplinary teams, and facilitate safe post‑discharge transitions while promoting health equity.

You’ll leverage clinical expertise and care coordination experience to reduce readmissions, educate members and families, and work from a home-based schedule designed for remote collaboration with

Qualifications

  • Active and unrestricted RN license in Illinois.
  • 3+ years of clinical practice experience.
  • 1+ year of experience in care coordination or working with high-risk populations.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).
  • Ability to work from home in a private, dedicated space.

Responsibilities

  • Complete post-discharge assessments to identify needs and health determinants.
  • Provide comprehensive discharge planning and transitions of care between settings.
  • Ensure medication reconciliation and understanding of prescribed medications.
  • Coordinate with PCP, specialists, and ICT to develop ICPs and care plans.
  • Lead ICT meetings and ensure timely communication with the care team.
  • Support post-discharge services, transportation, and DME coordination.

Skills

RN License in Illinois
Care coordination
Microsoft Office Suite
Remote work
Private home workspace

Education

Active and unrestricted RN license
Bachelor's degree in Nursing

Tools

Microsoft Office

Job description

CVS Health is seeking a Transition of Care Case Manager (RN) to support high‑risk, medically complex members in Illinois. You will develop and implement individualized care plans, coordinate with interdisciplinary teams, and facilitate safe post‑discharge transitions while promoting health equity.

You’ll leverage clinical expertise and care coordination experience to reduce readmissions, educate members and families, and work from a home-based schedule designed for remote collaboration with

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