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Transition of Care Associate LPN

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home, Illinois

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

24.64 - 53.53 USD / Hour

Job Description:

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.

Job Responsibility:

  • Complete post-discharge questionnaire
  • 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
  • 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

Requirements:

  • IL licensed LPN with hospice/palliative care experience
  • 3+ years LPN nursing experience
  • Self-motivated, energetic, detail-oriented, highly organized, tech-savvy LPNs
  • Discharge planning
  • 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 (English/Spanish)
  • Previous remote work experience

Nice to have:

  • Bilingual (English/Spanish)
  • Previous remote work experience
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
July 30, 2025

Expiration:
August 31, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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