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Case Manager, Registered Nurse - Field (Sangamon, Macon, Logan and surrounding areas) in Decatur
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$71,948 / year median in the U.S.
+5% projected growth
Job Description
Job Ref:
3169782669Employer:
Network Company Name:
CVS Health Industry:
Healthcare otherJob Type:
Full Time State:
Illinois City:
Decatur Zip Code:
62523Post Date:
09/07/2026 We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Program Overview:
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Remote Work Expectations This is a remote/field role; candidates must have a dedicated workspace free of interruptions Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required Qualifications- Must reside in the state of Illinois
- Must possess reliable transportation and be willing and able to travel up to 75% of the time from home location in and around Sangamon, Macon, Logan counties. Mileage is reimbursed per our company expense reimbursement policy
- Minimum 3-5 years clinical practical experience
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications Preferred Qualifications
- 2-3 years Care Management, discharge planning and/or home health care coordination experience
- Certified Case Manager
- Bilingual Education Associate's degree required, along with active and unencumbered Registered Nurse license in the state of Illinois Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.
Benefits
- Paid Time Off (PTO)
- Other Retirement and Savings
- Health and Wellness Programs
- Health Insurance