Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Northern and Central Regions of New Jersey

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

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Job Description:

This Case Manager RN position is with Aetna’s Integrate Care Management (ICM) team and is a field-based position out of the Northern and Upper Central Region of New Jersey. The care manager will collaborate with members, caregivers, and providers, addressing social needs and ensuring effective care plans. The role involves travel, critical thinking, and documentation.

Job Responsibility:

Assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long-term nursing facilities
Establishing a cost-effective and member-centric care plan in collaboration with the member, authorized caregivers, and providers
Monitoring and evaluating the effectiveness of the care plans and adjusting the care plan based on clinical judgment and member needs
Coordinating and collaborating with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery
Advocating for member’s needs to ensure a safe discharge post-hospitalization or transition from a nursing facility, including addressing social needs
Documenting accurately and timely in the member’s electronic health record
Mentoring new hires once proficient in the role.

Requirements:

Must reside in the Northern and Central Regions of New Jersey
This position requires up to 50-75% travel to complete Face to Face visits in the state of NJ in various settings including, but not limited to in homes, hospitals, provider settings, etc.
3+ years’ work experience in pediatric, Special Needs and/or Adult Population
RN with current unrestricted state licensure in the State of New Jersey
Computer literacy and demonstrated proficiency in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel
Highly organized, flexible, and ability to be adaptable and embrace change in a fast paced environment
Ability to critically think and navigate challenging situations
Ability to prioritize competing priorities and meet deadlines
Self-motivated and dependable
Positive, forward thinking mindset
Exceptional communication skills, both verbally and in writing.

Nice to have:

2+ years experience managing populations with mental health and/or substance use disorders
Certified Case Manager Certification
Case Management experience in an integrated model
Bilingual preferred
Remote work experience
Effective communication skills, both verbal and written
Working knowledge of problem solving and decision-making skills
Working knowledge of medical terminology
Working knowledge of digital literacy skills
Ability to deal tactfully with customers and community
Ability to handle sensitive information ethically and responsibly.

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost wellness programs such as screenings, tobacco cessation, weight management programs
Confidential counseling and financial coaching
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Paid time off
Flexible work schedules.

Additional Information:

Job Posted:
August 01, 2025

Expiration:
August 17, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Case Manager Registered Nurse