Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Help us elevate our member 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 Care Management 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 our Care Management Programs to change lives in new markets across the country.

• Complete post-discharge questionnaire, which may be market specific.
• Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.
• Ensures the member has filled/received their medication(s) and has an understanding on how to take their ordered medications.
• Benefit education
• Monitor members in low CM level for alerts or changes in condition to be transitioned back to RN.
• Complete post discharge call and required assessments (RAP), medication reconciliation (if within scope of practice), fall assessment if fall risk identified.
• Complete inpatient confinement calls and monitoring for discharge.
• Management of warm transfers form concierge and engagement hub
• Provides clinical assistance to determine appropriate services and supports due to member's health needs (including but not limited to: Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports)
• Evaluation of health and social indicators
• Identifies and engages barriers to achieving optimal member health.
• Uses discretion to apply strategies to reduce member risk.
• Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the member's condition(s) and abilities to self-manage.
• Coordinates post-discharge meal delivery, assists with securing DME, and helps to ensure timely physician follow-up.
• Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel.

• Required: 2+ years LPN nursing experience
• Unrestricted and active LPN/LVN licensure in IL
• Ability to travel up to 50-75% within 1 hour of Springfield, IL

• Self-motivated, energetic, detail-oriented, highly organized, tech-savvy Licensed Practical Nurses
• Discharge planning experience
• Advanced proficiency in Microsoft Word, Excel, and Outlook
• Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment while providing outstanding care.
• Effective verbal and written communication skills
• Bilingual - Spanish
• Excellent analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills.
• Ability to work independently
• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
• Efficient and Effective computer skills including navigating multiple systems and keyboarding

• Required: H.S. or Equivalent - MUST be an LPN
• Preferred: Associate's Degree, Bachelor's Degree