Case Manager, Registered Nurse

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. Position Summary Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training ​ Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. 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

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. Requisition Job Description 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 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 tim

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. Case Manager (RN) – Field Location: Mesquite, Balch Springs, Forney, Talty, Seagoville, Hutchins, Lancaster, Ferris, Red Oak, Cockrell Hill, Cedar Hill, Wilmer, West Dallas, Highland Park and South Dallas (Remote with local travel) Travel: Up to, 75% within territory Position Summary Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas & Surrounding Areas in Texas In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes. Key Responsibilities Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes Collaborate in multidisciplinary care reviews to optimize member health results Identify and escalate quality of care concerns through appropriate channels Engage members using motivational interviewing and coaching techniques to encourage healthy lifes

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. RN Nurse Case Manager – Field- Location: Northern Virginia: Fairfax, Sterling, Reston, Ashburn and surrounding Virginia Areas Schedule: Mon-Fri 8:00-5:00 PM EST Travel: Up to75% Position Overview: We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Fairfax, Sterling, Reston, Ashburn and surrounding areas of Virginia. This is a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care. What You’ll Do: As a Nurse Case Manager, you will play a critical role in improving the health and well-being of members by coordinating care, removing barriers, and supporting better outcomes. In this role, you will: Conduct comprehensive assessments (telephonic and face-to-face) to evaluate members’ medical, behavioral, and social needs Develop and implement personalized care plans that promote both short- and long-term wellness Coordinate care across providers, programs, and services to ensure a seamless experience for members Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention Support members with complex or multiple conditions by applying a holistic, whole-person app

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. Position Summary: Registered Nurse Case Manager – Field in Danville & Martinsville, VA Schedule: Monday–Friday, 8:00 AM – 5:00 PM EST We’re looking for a compassionate and motivated Registered Nurse Case Manager to join our team, supporting members in the Danville & Martinsville, Virginia area. This is a field-based role that blends in-person visits with telephonic outreach to deliver coordinated, patient-centered care. What You’ll Do: As a Nurse Case Manager, you will play a critical role in improving the health and well-being of members by coordinating care, removing barriers, and supporting better outcomes. In this role, you will: Conduct comprehensive assessments (telephonic and face-to-face) to evaluate members’ medical, behavioral, and social needs Develop and implement personalized care plans that promote both short- and long-term wellness Coordinate care across providers, programs, and services to ensure a seamless experience for members Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention Support members with complex or multiple conditions by applying a holistic

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. Position Summary The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the principles of the wraparound process are delivered with the highest possible fidelity to the model. Hours for this position are Monday - Friday 8:00am - 5:00pm. This position is located in the Lakes Region, including the counties of: Ballard, Caldwell, Calloway, Carlisle, Christian, Crittenden, Fulton, Graves, Hickman, Hopkins, Livingston, Lyon, Marshall, McCracken, Muhlenberg, Todd and Trigg. Position requires at least 50% travel within region and, possibly at times, outside region, if necessary. The HFW CM offers consultation and education to all providers regarding the values of the wraparound process, monitors progress toward goals, and assures that all necessary data for evaluation are gathered and entered. The HFW CM helps the youth and family develop and integrate their natural support system and to manage their own services, supports, and plan. Duties: The HFW CM is responsible for completing a comprehensive strengths-based assessment/screening (Health Risk Questionnaire, Pediatric assessment, and any other applicable) of the individual Working in full partnership with the High-Fidelity team members to develop and i