Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Somerset County

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

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Job offer has expired

Job Description:

This Case Manager Registered Nurse position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of the Somerset County New Jersey. The working schedule is Monday - Friday 8am-5pm EST. The role requires advanced clinical judgment and critical thinking skills to facilitate appropriate services, care planning, provider collaboration, and cost-effective resource utilization.

Job Responsibility:

Conducting face-to-face visits in the member's home utilizing comprehensive assessment tools
Evaluating medical needs of members and facilitating overall wellness
Collaborating care with the member/authorized representative, PCP, and other care team participants
Scheduling and attending interdisciplinary meetings
Advocating on behalf of members to ensure proper and safe discharge with appropriate services in place
Developing care plans and authorizing services in a cost-effective manner

Requirements:

Must reside in Somerset County New Jersey
Must possess reliable transportation and be willing and able to travel up to 50-75% of the time within Somerset County and surrounding counties
Mileage is reimbursed per our company expense reimbursement policy
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
Successful completion of the NJ Choice certification is a contingency of employment

Nice to have:

LTSS experience
Case management and/or discharge planning experience
Managed Care experience
Medicaid and Medicare experience
Experience using computer, keyboard, mouse, multi-system navigation
and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams)

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Tuition assistance

Additional Information:

Job Posted:
May 15, 2025

Expiration:
May 18, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Case Manager Registered Nurse