Remote RN Case Manager for Medicare & Medicaid

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

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Paid time off

Job summary

CVS Health is seeking a Case Management Coordinator to support the case management process for Aetna members, primarily from a home-based setting with substantial travel across Chicago and surrounding areas. You will assist with scheduling, benefits education, and care coordination using healthcare tools and resources.

The role requires Illinois residency, 3–5 years clinical experience, strong analytical and communication skills, and independent work ability. Travel up to 50–75% is expected.

Qualifications

• Residency in Illinois is required.
• 3–5 years clinical practical experience.
• Comfortable working from home and collaborating virtually.
• Strong analytical and problem-solving abilities.
• Excellent written and verbal communication.
• Ability to work independently and manage multiple systems.

Responsibilities

• Assist with appointment scheduling and benefit education for members.
• Identify and assist with accessing benefits and education for members through care management tools and resources.
• Collaborate with members, providers, and community organizations to address members’ health care and social needs.
• Support care management processes and use of tools and resources.
• Travel up to 50–75% from home location around Chicago/South Side and surrounding areas, IL.

Skills

Analytical skills

Problem-solving

Communication skills

Organizational skills

Independent work

Travel readiness

Computer skills

Education

Associate's degree

Registered Nurse license

Tools

MS Word

Excel

PowerPoint

Outlook

EHR portal

VPN

Job description

CVS Health is seeking a Case Management Coordinator to support the case management process for Aetna members, primarily from a home-based setting with substantial travel across Chicago and surrounding areas. You will assist with scheduling, benefits education, and care coordination using healthcare tools and resources.

The role requires Illinois residency, 3–5 years clinical experience, strong analytical and communication skills, and independent work ability. Travel up to 50–75% is expected.