Case Manager RN - Field (Morris County, NJ)

Help us elevate our patient 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 will have a life‑changing impact on members enrolled in Medicare and Medicaid with 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 health care and social determinants of health. Responsibilities The ICM Care Manager is a frontline advocate for members who cannot advocate for themselves. They assess, plan, implement, and coordinate all case management activities to evaluate members’ medical needs and facilitate overall wellness. Use clinical tools and data review to evaluate member needs and benefits. Apply clinical judgment to design strategies that reduce risk factors and barriers and address complex health and social indicators impacting care. Conduct comprehensive assessments using various sources, such as claims, to address all conditions including co‑morbidities and multiple diagnoses impacting functionality. Use a holistic approach to determine the need for referrals to clinical resources and other interdisciplinary team members. Collaborate with supervisors and key stakeholders to overcome barriers, set goals, and present cases at interdisciplinary case conferences. Utilize case management processes in compliance with regulatory and company policies, and employ motivational interviewing to ensure maximum member engagement. Required Qualifications Minimum 3+ years of clinical practice experience. Active and unrestricted RN licensure in the state of New Jersey. Residence in Morris County, New Jersey. Willingness and ability to travel 25–50% of the time using personal vehicle to meet members face‑to‑face; reliable transportation required (mileage reimbursed). Preferred Qualifications Certified Case Manager preferred. Minimum 2+ years of Care Management, Discharge Planning, or Home Health Care Coordination experience preferred. Comfortable working independently from home, using virtual collaboration tools. Excellent analytical, problem‑solving, communication, organizational, and interpersonal skills. Strong computer skills, including proficiency with MS Office and proprietary applications. Bilingual preferred. Education Associate’s Degree in Nursing required. Bachelor’s Degree in Nursing preferred. Anticipated Weekly Hours 40 Time Type Full time Pay Range $66,575.00 – $142,576.00. The actual base salary will depend on experience, education, geography, and other factors. The position is eligible for a CVS Health bonus, commission, or short‑term incentive program. Benefits Comprehensive benefits package including medical, dental, vision coverage, paid time off, retirement savings options, wellness programs, and additional resources based on eligibility. Application Information Qualified applicants with arrest or conviction records will be considered in accordance with federal, state, and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement