Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Program Overview:** Join Aetna's mission-driven team supporting **dual-eligible members** through the **Dual Special Needs Plan (D-SNP FIDE)** . Our integrated care model addresses both medical and social determinants of health, serving members with complex needs through compassionate, coordinated care. As we expand into new markets, this role offers the opportunity to make a meaningful impact in the lives of vulnerable populations. **Position Summary / Mission:** The Care Manager RN serves as a frontline advocate for members who may not be able to advocate for themselves. This role is responsible for assessing, planning, implementing, and coordinating case management activities to support members' overall health and wellness. The Care Manager collaborates with members, providers, and interdisciplinary teams to overcome barriers and promote optimal outcomes. **Key Responsibilities:** + Develop proactive care plans to address identified health and social issues, enhancing short- and long-term outcomes. + Conduct comprehensive assessments using clinical tools and data sources to evaluate member needs and benefit eligibility. + Apply clinical judgment to reduce risk factors and address complex health and social indicators. + Use a holistic approach to determine referrals to clinical and interdisciplinary resources. + Collaborate with supervisors and care teams to overcome barriers and present cases at interdisciplinary case conferences. + Utilize motivational interviewing techniques to engage members and assess health status. + Document case management activities in compliance with regulatory and company policies. **Travel Expectations:** + Travel within the **residing area and nearby regions** as needed to support in-person member engagement and care coordination. + Reliable transportation and a valid driver's license are required. + Mileage reimbursement is provided in accordance with company policy. **Required Qualifications:** + Active, unrestricted RN license in the state of Illinois. + Minimum 3-5 years of clinical experience. + At least 2 years of experience in case management, discharge planning, or home health coordination. + Comfortable working independently and virtually. + Proficient in Microsoft Office Suite and virtual collaboration tools (Teams, Outlook, etc.). + Strong communication, organizational, and problem-solving skills. **Preferred Qualifications:** + BSN degree. + Certified Case Manager (CCM) credential. + Experience working with dual-eligible populations or in managed care settings. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 11/18/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Tags

Hourly pay, Full time, Temporary work, Work at office, Local area, Flexible hours,

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