Case Manager, Registered Nurse - Field

Job not on LinkedIn

🔥 12 hours 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Assess, plan, implement, and coordinate case management activities for members • Evaluate members’ medical needs to facilitate overall wellness • Develop proactive plans of care addressing identified issues and short- and long-term outcomes • Use clinical tools and data review to evaluate member needs and benefits • Apply clinical judgment to reduce risk factors and address complex health and social indicators • Conduct assessments using claims and other information sources, including co-morbidities and multiple diagnoses • Use a holistic approach to determine referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors and healthcare stakeholders to overcome barriers and meet goals • Present cases at interdisciplinary case conferences • Follow regulatory and company case management policies and procedures • Use motivational interviewing to maximize member engagement and assess health status and needs • Meet members face to face in assigned areas

🎯 Requirements

• Minimum 3+ years of clinical practice experience • Active and unrestricted RN license in the state of New Jersey • Willing and able to travel 25–50% of the time using own vehicle to meet members face to face • Reliable transportation required • Must reside in Ocean or a surrounding county, New Jersey • Certified Case Manager preferred • Minimum 2+ years of Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred • Confidence working at home/independent thinker and using tools to collaborate virtually • 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 • Bilingual preferred • Associate’s Degree in Nursing required • Bachelor’s Degree preferred

🏖️ 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 per company expense reimbursement policy • Security escort available if needed when meeting members