# Case Manager RN **Company**: CVS Health **Location**: Work from home, IL **Work arrangement**: remote **Experience**: senior **Job type**: full-time **Salary**: $66,575.00 - $142,576.00 **Category**: Healthcare **Industry**: Healthcare **Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Work-from-home/Case-Manager-Registered-Nurse--Remote--RN-Illinois-_R1094817?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/job/case-manager-rn-07ca6b0b-4ce/ ## Description We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience. The Case Manager RN role is 100% remote work from home and candidates must have an active Illinois RN licensure. Normal hours are Monday through Friday 9:00am – 5:30pm in the time zone of residence with occasional late shift rotation until 8:00pm EST. Employees can flex their 8-hour shift between 8:00am-6:00pm. There are no weekends or holiday shifts required at this time. No travel is expected with this position. **Responsibilities** - Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. - Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of work capacity and related restrictions/limitations. - Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. - Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. **Required Qualifications** - Must have an active Illinois RN licensure. - 2+ years of clinical experience as an RN. **Preferred Qualifications** - 1+ years of case management experience. - Compact RN licensure or willing and able to obtain multiple state RN licensure after hire. - Certified Case Manager (CCM) certification. - Strong telephonic communication skills. **Education** - Associate's degree in nursing is minimum required. BSN preferred. **Work from Home Requirements** - You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. - A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours. - Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live. - The company will provide equipment. **Technical and Logistical Requirements** - Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously. - Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings. - Collaboration & Scheduling: Experience with Microsoft Office 365 applications. - Systems Access & Security: Ability to Log in to secure systems. - Troubleshooting & Support: Ability to resolve common technical issues independently. - Future Growth: Openness to learning new skills in the future. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** $66,575.00 - $142,576.00 **Benefits** This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. For more fresh new jobs, check out [yubhub.co](https://yubhub.co/). ## Skills ### Required - Illinois RN licensure - clinical experience - case management ### Nice to have - case management experience - Compact RN licensure - Certified Case Manager (CCM) certification - telephonic communication skills --- Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Work-from-home/Case-Manager-Registered-Nurse--Remote--RN-Illinois-_R1094817?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)