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, implement, support, and promote health service strategies, tactics, policies, and programs • Conduct face-to-face visits in members’ homes using comprehensive assessment tools • Evaluate members’ medical needs and facilitate overall wellness • Address requests for adult and pediatric medical daycare, personal care assistant services, nursing facility custodial requests, personal preference programs, and MLTSS enrollment • Manage pediatric and medically complex cases • Schedule and attend interdisciplinary meetings • Advocate for members to ensure proper and safe discharge with appropriate services • Develop care plans with members and care teams • Authorize services cost-effectively within the MLTSS/FIDE benefit • Document accurately and timely in members’ electronic health records • Coordinate and collaborate with members, authorized representatives, PCPs, and other care team participants • Apply critical thinking and problem-solving skills • Mentor new hires after attaining proficiency

🎯 Requirements

• Must reside in Union County, New Jersey • 3+ years clinical practice experience, e.g., hospital setting, home health, or ambulatory care • Active and Unrestricted RN license in NJ • Reliable transportation • Willing and able to travel 50-75% of the time in Hudson and surrounding counties in New Jersey • Successful completion of the NJ Choice certification, including an exam score of 80% or higher, State training modules, and field mentoring component • Minimum associate’s degree or diploma in Nursing required • LTSS experience preferred • Case management and/or discharge planning experience preferred • Managed Care experience preferred • Medicaid and Medicare experience preferred • Experience using computer, keyboard, mouse, multi-system navigation, and MS Office Suite applications • Direct/hardwired internet connection to a modem/router within 7 feet of the computer, with minimum 25 Mbps download and 3 Mbps upload • Wi-Fi and satellite internet are not permitted • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Own workspace furniture required • Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace applications • Ability to log in to secure systems such as VPN and EHR portals, lock computer screens, manage strong passwords, and recognize suspicious emails or links • Ability to resolve common technical issues independently • Openness to learning new skills as the workplace evolves

🏖️ 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 according to company expense reimbursement policy • Company-provided equipment (keyboard, monitor, computer, headset, etc.)