Case Manager, Registered Nurse – Field

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🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 to address identified issues and improve short- and long-term outcomes • Assess, plan, implement, and coordinate case management activities • Evaluate members’ medical needs and overall wellness • Review clinical tools, information, data, and claims to evaluate member needs and benefits • Apply clinical judgment to reduce risk factors and address complex health and social indicators • Conduct holistic assessments covering comorbidities, multiple diagnoses, and functionality • Determine need for referrals to clinical resources and interdisciplinary team members • Collaborate with supervisors, healthcare stakeholders, providers, community organizations, and interdisciplinary teams • Present cases at interdisciplinary case conferences • Use case management processes in compliance with regulatory and company policies • Use motivational interviewing to engage members and assess health status and needs • Meet members face to face within the assigned Bergen/Hudson County area

🎯 Requirements

• Minimum 3+ years of clinical practice experience • Active and unrestricted RN licensure in New Jersey required • Willingness and ability to travel 25–50% using own vehicle for face-to-face member visits • Reliable transportation required • Must reside close to or within Bergen/Hudson County, New Jersey • Dedicated workspace free of interruptions • Separate dependent care arrangements during work hours • Certified Case Manager preferred • Minimum 2+ years of care management, discharge planning, and/or home health care coordination experience preferred • Ability to work independently and think independently from home • Excellent analytical and problem-solving skills • Effective communication, organizational, and interpersonal skills • Effective computer skills, including navigating multiple systems and keyboarding • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Bilingual ability preferred • Associate’s degree 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 according to company expense reimbursement policy • Security escort available if needed