Registered Nurse Case Manager - LTSS - Work at Home

The Case Manager RN is responsible for telephonic and/or face-to-face assessment, planning, implementation, and coordination of case management activities for members. The role evaluates members' medical needs to promote overall wellness, improve short- and long-term outcomes, and support appropriate, cost-effective care delivery aligned with Aetna/CVS Health benefit plans and clinical policies.

Required Qualifications

• Registered Nurse (RN) with current, unrestricted state licensure.
• Minimum of 5 years of clinical practice experience.
• Strong clinical assessment, critical thinking, and care coordination skills.
• Effective written and verbal communication skills.
• Ability to work independently in a telephonic/remote environment.

Preferred Qualifications

• Prior case management, care management, or utilization management experience.
• Experience working with Medicaid and/or LTSS populations.

Education

• Associates Degree in Nursing
• Bachelor of Science in Nursing (BSN) Preferred