Registered Nurse Case Manager, 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:

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:

Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members
The care manager will be responsible for
care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner
The Case Manager is responsible for conducting 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)
The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place
The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner within the MLTSS/ FIDE benefit
The care manager is responsible for documenting accurately and timely in the member’s electronic health record

Requirements:

Must reside in Bergen County (preference to residents of Englewood, Teaneck, Bergenfield, Maywood, Tenafly and Fort Lee)
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
50 to 75% travel in Bergen County and surrounding counties
Successful completion of the NJ Choice certification is a contingency of employment
Must have OWN transportation

Nice to have:

Home Health and/or Hospice Experience
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, 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

Work Type:

On-site work

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Registered Nurse Case Manager