Registered Nurse Case Manager - Field, CVS Health

CVS Health

Location:
United States, Hudson County

Category:
Nursing

Contract Type:
Not provided

Salary:

72627.00 - 155538.00 USD / Year

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Conduct in-home, face-to-face assessments using comprehensive tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D-SNP/FIDE)
Evaluate non-MLTSS members for service eligibility and support needs, including adult/pediatric medical daycare, personal care assistants, nursing facility services, and MLTSS enrollment
Collaborate with members, their representatives, primary care providers, and interdisciplinary care teams to develop and implement individualized care plans
Attend and coordinate interdisciplinary team meetings, advocating for members to ensure safe and appropriate service delivery and discharge planning
Authorize services within program benefits in a cost-effective manner
Accurately and promptly document all activities in the electronic health record
Mentor new hires upon achieving proficiency in the role

Requirements:

Active, unrestricted Registered Nurse (RN) license in New Jersey
Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care
Willingness and ability to travel 50–75% within Hudson County and nearby areas
Reliable transportation (mileage reimbursed per company policy)
Successful completion of the NJ Choice Certification, including: A minimum score of 80% on the exam
Completion of state training modules and field mentoring, as required by the NJ Division of Aging Services

Nice to have:

Residency in Hudson County
Experience in case management or discharge planning
Background in managed care, Medicaid/Medicare, or LTSS
Proficiency with Microsoft Office Suite (Outlook, Word, Excel, SharePoint, Teams) and multi-system navigation

What we offer:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
August 08, 2025

Expiration:
August 31, 2025

Employment Type:

Fulltime

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Registered Nurse Case Manager - Field