Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Essex County

Category:
Nursing

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

Save Job

Apply Position

Job Description:

Field-based Case Manager position responsible for conducting home visits and comprehensive assessments for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program. Requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, and psychosocial wrap around services.

Job Responsibility:

Develop, implement, support, and promote health service strategies, tactics, policies, and programs
Conduct face to face visits in members' homes utilizing comprehensive assessment tools
Coordinate and collaborate care with member/authorized representative, PCP, and care team participants
Schedule and attend interdisciplinary meetings
Advocate on members' behalf to ensure proper and safe discharge
Develop care plans and authorize services in a cost-effective manner
Document accurately and timely in member's electronic health record
Mentor new hires

Requirements:

Active and unrestricted RN license in NJ
3+ years clinical practice experience (e.g., hospital setting, alternative care setting such as home health or ambulatory care)
Must live in Essex County NJ (preference given to candidates located in Newark, Irvington and South Orange)
Reliable transportation required
Successful completion of NJ Choice certification (exam score of 80% or higher)
Associate degree or Diploma in Nursing required

Nice to have:

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

What we offer:

Mileage reimbursement
Affordable medical plan options
401(k) plan with 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
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 27, 2025

Expiration:
August 31, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

View All Jobs In This Company

Job Link Share:

Case Manager Registered Nurse