Case Manager, Registered Nurse Field (WillKankakee Counties)

*Candidates must live in or around Will/Kankakee Counties in Illinois*

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 Coordinatorutilizes 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

Required Qualifications

Must reside in the state of Illinois

Must possess reliable transportation and be willing and able to travel up to 50-75% of the time from home location in and around Will Kankakee and surrounding areas IL. 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

Associates degree required bachelors preferred

License:

Active and unencumbered Registered Nurse license in the state of Illinois

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. WiFi and satellite internet are not permitted.

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 (keyboard monitor computer headset etc.). All new hires should provide their own

workspace furniture (desk or standing desk as this position would require you to be at your desk for extended periods of time).

If hired you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements:

Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications

simultaneously to streamline tasks and improve efficiency.

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 (Teams Outlook Word Excel PowerPoint) applications or

similar (Google Workspace).

Systems Access & Security: Ability to Log in to secure systems (e.g. VPN EHR portal) lock a computer screen when

unattended manage strong passwords and recognize suspicious emails or links.

Troubleshooting & Support: Ability to resolve common technical issues independently such as: restarting an application when

frozen resolving internet connection issues and contacting IT for unresolved technical issues.

Future Growth: Openness to learning new skills in the future as the workplace environment evolves