Case Manager Registered Nurse, CVS Health

CVS Health

Location:
United States, Bergen County

Category:
Nursing

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

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Job Description:

This is a remote Case Manager opportunity with 50 to 75% field travel in Bergen and surrounding counties. The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner.

Job Responsibility:

Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members
Conduct face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE)
Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants
Schedule and attend interdisciplinary meetings and advocate on the members behalf to ensure proper and safe discharge with appropriate services in place
Work with the member and care team to develop a care plan and authorize services in a cost-effective manner within the MLTSS/ FIDE benefit
Document accurately and timely in the member's electronic health record
Mentor new hires once a level of proficiency has been attained in their role

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 reside in Bergen County and have reliable transportation and be willing and able to travel up to 75% of the time
Successful completion of the NJ Choice certification is a contingency of employment
Minimum of Associate degree or Diploma in Nursing

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:

New Hire Bonus Available for External Candidates: $7500 or $10000 with an active NJ Choice Certification
Mileage reimbursement per company expense reimbursement policy
Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost programs including 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:
October 02, 2025

Expiration:
October 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Case Manager Registered Nurse