Case Manager Registered Nurse - Field In Salem and surrounding Counties, NJ

Join Our Team

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

Join our team and make a meaningful impact in the lives of members throughout Salem, Gloucester, Cumberland, and the surrounding counties. This is a work-from-home role with 5075% local travel, MondayFriday, 8:00 a.m.5:00 p.m. EST.

We're looking for a compassionate, mission-driven nurse who thrives in the communitysomeone who is comfortable meeting members where they are, in any neighborhood, setting, or circumstance, to support their health and independence.

What You Will Do

As a Case Manager, you will help shape and deliver high-quality care by developing, implementing, and supporting strategies that improve health outcomes for our members. You'll apply clinical expertise and strong critical-thinking skills to ensure members receive the physical, behavioral, and psychosocial services they need.

Your work will include care planning, collaborating directly with providers and interdisciplinary teams, coordinating services, and helping members navigate the resources that allow them to thrive. Strong assessment, writing, and communication skills are essential to success in this role.

Key Responsibilities

• Conduct in-home, face-to-face visits using comprehensive assessment tools for members enrolled in:
• Managed Long-Term Services and Supports (MLTSS)
• Dual Special Needs Programs (D-SNP/FIDE)
• Complete assessments for non-MLTSS members to evaluate medical needs and support requests such as:
• Adult or pediatric medical day care
• Personal care assistant services
• Nursing facility custodial care
• Personal Preference Program
• MLTSS program enrollment
• Coordinate care with members, their authorized representatives, PCPs, and all care team participants.
• Schedule and participate in interdisciplinary team meetings.
• Advocate for members to ensure safe and appropriate transitions of care.
• Develop individualized care plans and authorize services in a cost-effective manner.
• Document accurate and timely information in the electronic health record.
• Use sound clinical judgment and problem-solving skills in daily decision-making.
• Mentor new hires once proficiency is achieved.
• Successfully complete company-sponsored NJ Choice Certification (required score of 80% or higher for continued employment).
• Member assignments may include pediatric populations and medically complex cases.

Required Qualifications

• Active, unrestricted RN license in New Jersey
• Comfort conducting field-based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.
• 3+ years of clinical practice experience
• 3+ years of experience in home health, hospice, or a similar setting
• Residency in Salem County preferred
• Willing and able to travel 5075% within assigned counties
• Successful completion of the NJ Choice Certification, including:
• Minimum exam score of 80%
• Completion of state training modules
• Field mentoring component

Preferred Qualifications

• Case management and/or discharge planning experience
• Managed care experience
• Crisis intervention skills

Education

• Associate's degree in Nursing (minimum requirement)

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process.