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 This is a remote case management opportunity with required travel throughout Camden County NJ and the surrounding county areas. Job description: Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to face assessments with non-MLTSS members to evaluate the medical needs of the member to facilitate the member’s overall wellness and help them obtain the services they need to thrive by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment. Successful completion of company sponsored NJ Choice Certification is requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place. The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner within the MLTSS/ FIDE benefit. The care manager is responsible for documenting accurately and timely in the member’s electronic health record. This position requires the case manager to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency has been attained in their role. 50 to 75% travel in counties throughout Southern NJ. Required Qualifications - 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care - Active and unrestricted RN license in NJ - Must reside in or near Camden County NJ - Willing and able to travel 50 to 75% of their time in Camden County and surrounding areas - Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component. Preferred Qualifications - Home health experience - Case management and/or discharge planning experience - Managed Care experience - Crisis intervention skills - Experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.) - NJ Choice Certification Education - Minimum of an Associate degree in Nursing or Diploma RN required Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. This RN Case Manager position is 100% remote and candidates can apply from any state. Normal Working Hours: Monday through Friday between the hours of 8:00am – 7:00pm CSTfor a scheduled 8-hour shift. Preference is for an RN with Compact RN licensure who lives in either CST, MST, or PST time zone. Weekends may be required per the needs of the department. This position is with Aetna's Commercial Care Management division on the dedicated team supporting Amazon's membership. Employees will have an occasional evening shift rotation per the needs of the team. Less than 10% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness. RN Case Manager: – Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. – Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor. – Applies clinical judgment to reduce risk factors, address complex health issues and social indicators. – Utilizes case management processes in compliance with regulatory and company policies and procedures. – Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Required Qualifications: -Must have an active and unrestricted RN license and, if located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restriction -Willingness and ability to obtain additional state licenses upon hire (paid for by the company) -3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning) -Ability to use a computer station with multiple screens, operate multiple programs simultaneously, and sit for extended periods of time - A private designated workspace free of distractions and high-speed internet Preferred Qualifications: -Compact RN licensure -RN living in CST, MST, or PST Time Zone -1+ years of case management experience -Certified Case Manager (CCM) certification -Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues. -Experience with all types of Microsoft Office including PowerPoint, Excel, and Word -Strong telephonic communication skills -1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone. -BSN -Transgender certification Education: -Associates in nursing Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/04/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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 Aetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote based (work at home) based anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications. Required Qualifications * 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M.D. or D.O.,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Preferred Qualifications * Previous healthcare insurance experience. Education * 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M.D. or D.O.,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Neurosurgery, including post-graduate direct patient care experience specifically. Pay Range The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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 At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day. Aetna is seeking an Executive Director, Clinical Health Services for Aetna Clinical Solutions. This critical leader will oversee enterprise clinical strategy and operations that drive high‑quality care management, exceptional member experiences, and strong clinical outcomes. The Executive Director provides strategic direction, operational leadership, and day‑to‑day oversight of multidisciplinary teams of clinicians and support staff. This role partners closely across the enterprise—clinical teams, quality, operations, program design, finance, and external healthcare partners—to deliver coordinated care, ensure regulatory compliance, optimize utilization, and advance organizational goals. Key Responsibilities Strategic & Operational Leadership - Lead the development and execution of clinical strategy supporting Commercial Care and Specialty Operations. - Oversee daily operations for multidisciplinary care teams, ensuring consistent, high‑quality clinical practices and service delivery. - Develop and implement staffing models that are cost‑effective, compliant, and aligned with membership and business needs. - Manage budget, staffing, and operational performance across lines of business. Clinical Excellence & Care Coordination - Collaborate across departments to support comprehensive member care, including assessments, care planning, coordination with providers, and continuous monitoring to improve outcomes. - Guide teams to advocate for members, ensuring effective communication, resource utilization, and overall well‑being. - Direct implementation of care models, workflows, and procedures that ensure high‑quality, evidence‑based care. - Conduct and oversee clinical record reviews to ensure documentation quality and timeliness. Performance, Utilization, and Quality - Monitor and analyze performance of utilization management and care management programs; implement strategies to improve outcomes and experience. - Identify operational gaps and lead initiatives to enhance efficiency, clinical quality, and member and provider satisfaction. - Ensure compliance with all applicable federal and state regulations. Cross‑Functional Partnership & Stakeholder Engagement - Partner with executive leaders, internal teams, regulators, consultants, and external stakeholders to advance clinical and operational objectives. - Maintain relationships with community health providers, ambulatory partners, and population health organizations to support coordinated care across the continuum. - Represent the organization in key meetings and with external agencies, including governmental and payer entities. People Leadership & Culture - Lead, develop, mentor, and inspire high‑performing teams through coaching, recognition, and effective change leadership. - Build an environment that supports professional development, mobility, and operational excellence. - Foster a culture grounded in CVS Health’s Heart‑At‑Work Behaviors with a strong focus on members and colleagues. - Support recruitment, retention, and engagement of a diverse, inclusive workforce reflective of the communities we serve. Program Strategy & Standardization - Partner with Clinical Health Services leadership to advance standardized practices for care transition management and enterprise clinical operations. - Define training strategies for clinical and program staff to support consistent, high‑quality practices. - Lead annual goal‑setting and operational planning aligned with Clinical Health Services and organizational priorities. Required Qualifications The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes: - 10+ years progressive experience in clinical care management, population health, or utilization management. - Unrestricted RN license in good standing. - 5+ years of senior leadership overseeing multi‑disciplinary clinical teams. - Demonstrated success leading large‑scale care management programs (case, disease, and complex care management). - Experience with commercial populations (employer‑sponsored insurance) strongly preferred. - Proven accountability for clinical outcomes, utilization management, and financial performance. - Strong relationship‑building experience with external clients, including plan sponsors and consulting firms. - Expertise in program strategy, including planning, executing, and optimizing strategic initiatives. - Deep knowledge of improving quality of care and reducing costs across operations, network management, provider relations, and care/medical management. - Strong analytical and data capabilities, including modeling, synthesizing information, and deriving actionable insights. - Expertise in clinical and health plan operations, including Policy Management, Care Management, Quality, Compliance, and Regulatory Management. - Proven ability to drive new strategies and lead initiatives in cross‑functional, matrixed environments. - Skilled in leading, influencing, and motivating teams to achieve high performance and outcomes. - Adept at simplifying and communicating complex information to diverse audiences. - Strong critical thinking, disciplined decision‑making, and focus on timely execution. - Demonstrated experience transitioning from traditional approaches to innovative strategies and championing change. - Effective problem‑solving abilities and strong organizational, multi‑tasking, and adaptability skills. - Skilled in tactful communication with customers, community stakeholders, and clinical staff. - Ability to evaluate cost‑benefit impacts to inform sound decisions. - Experience working within clinical settings and across diverse cultural dynamics of staff and patients. - Knowledge of care transitions and available patient resources. - Digital literacy with the ability to manage sensitive information ethically and responsibly. - Open to remote work arrangements across the U.S. Preferred Qualifications - Certification in Case Management (CCM, ACM) or related population health credentials. - Experience integrating or overseeing digital health or vendor‑based care solutions. - Background in enterprise clinical transformation or population health strategy. Education Master’s Degree preferred. Active RN license required. Travel 25% Pay Range The typical pay range for this role is: $184,112.00 - $396,550.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.