Case Manager, Registered Nurse – RN Illinois

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🔥 34 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Develop proactive courses of action to address member issues and improve short- and long-term outcomes • Identify opportunities to enhance members’ overall wellness through integration • Use clinical tools and information/data review to evaluate member needs and benefit plan eligibility • Facilitate integrative functions and smooth transitions to Aetna programs and plans • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Assess co-morbidities and multiple diagnoses affecting functionality • Review prior claims for potential impact on case management and eligibility • Assess members’ work capacity and related restrictions or limitations • Use a holistic approach to determine need for referral to clinical resources • Consult with supervisors and others to overcome barriers and meet goals and objectives • Present cases at multidisciplinary case conferences • Follow case management processes, regulatory requirements, and company policies • Conduct interviews to maximize member engagement and determine health status and needs • Work Monday through Friday during an 8-hour shift, with occasional late-shift rotation until 8:00pm EST • Work remotely from home with no expected travel, weekends, or holiday shifts

🎯 Requirements

• Active Illinois RN licensure; candidate does not need to live in Illinois • 2+ years of clinical experience as an RN • Associate’s degree in nursing required • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Ability to work within the state and city where the employee currently lives • Ability to set up and use multiple monitors and navigate multiple applications • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace tools • Ability to log in to secure systems such as VPN and EHR portals • Ability to maintain strong passwords and recognize suspicious emails or links • Ability to troubleshoot common technical issues and contact IT when needed • Willingness to learn new skills as the workplace evolves • BSN preferred • 1+ years of case management experience preferred • Compact RN licensure or willingness and ability to obtain multiple state RN licensure after hire preferred • Certified Case Manager (CCM) certification preferred • Strong telephonic communication skills preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Expenses paid by company for obtaining multiple state RN licensure after hire

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