Case Manager, Registered Nurse – Field

Job not on LinkedIn

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Develop proactive plans of care addressing identified issues and enhancing short- and long-term outcomes • Assess, plan, implement, and coordinate case management activities • Evaluate members' medical needs and facilitate overall wellness • Use clinical tools and data review to evaluate member needs and benefits • Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators • Conduct holistic assessments using claims and other information sources, including co-morbid and multiple diagnoses • Assess the need for referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors, healthcare stakeholders, members, providers, and community organizations • Present cases at interdisciplinary case conferences • Follow regulatory and company case management policies and procedures • Use motivational interviewing to engage members and determine health status and needs • Meet members face to face within the assigned Middlesex County area

🎯 Requirements

• Minimum 3+ years of clinical practice experience • Active and unrestricted RN licensure in New Jersey • Willingness and ability to travel 25–50% using own vehicle to meet members face to face • Reliable transportation • Must reside close to or within Middlesex County, New Jersey • Dedicated workspace free of interruptions • Separate dependent care arrangements during work hours • Certified Case Manager preferred • Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred • Excellent analytical and problem-solving skills • Effective communication, organizational, and interpersonal skills • Ability to work independently • Effective computer skills, including navigating multiple systems and keyboarding • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Associate's Degree required • Direct/hardwired internet connection within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Quiet, secure, private designated home work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Must provide own workspace furniture • Ability to use multiple monitors and applications simultaneously • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 or similar Google Workspace applications • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer and password security practices and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently • Bilingual preferred • NJC Certification preferred but not required

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Mileage reimbursement under the company expense reimbursement policy • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Security escort available if needed