Case Manager Registered Nurse, CVS Health

CVS Health

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

Category:
Nursing

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

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Job Description:

Field-based Case Manager Registered Nurse position with Aetna's Integrated Care Management team, responsible for assessing members with care management needs through telephonic and face-to-face assessments in various settings including private residences, hospitals, behavioral, and long-term nursing facilities.

Job Responsibility:

Assessing and evaluating members with potential care management needs through telephonic and face to face assessments
Establishing cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers
Monitoring and evaluating the effectiveness of the care plans and adjust the care plan based on clinical judgement 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
Taking an interdisciplinary approach to advocate for member's needs to ensure a safe discharge post hospitalization or transition from a nursing facility
Addressing social needs (e.g., housing and food insecurity)
Accurate and timely documentation 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
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
Reliable transportation required to complete F2F visits
Bachelor's in Science in Nursing Required

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 with matching company contributions
Employee stock purchase plan
No-cost 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
Mileage reimbursement for travel

Additional Information:

Job Posted:
September 20, 2025

Expiration:
September 28, 2025

Employment Type:

Fulltime

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Case Manager Registered Nurse