Registered Nurse Case Manager – Field

Job not on LinkedIn

🔥 13 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.

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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

• Support members throughout Essex County and nearby areas • Conduct in-home, face-to-face assessments for members enrolled in Managed Long-Term Services and Supports and Dual Special Needs Programs • Evaluate member needs and coordinate adult/pediatric medical day care, personal care assistant services, nursing facility placement, and MLTSS program enrollment • Partner with members, caregivers, PCPs, and interdisciplinary teams to develop and implement individualized care plans • Authorize services in alignment with program guidelines • Support safe transitions of care • Document all case activity accurately and promptly in the electronic health record • Apply clinical judgment and critical thinking to manage complex care needs • Mentor new team members once proficiency is achieved

🎯 Requirements

• Active, unrestricted RN license in New Jersey • Comfort conducting field-based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances • 3+ years of clinical practice experience • 3+ years of experience in home health, hospice, or a similar setting • Ability to manage pediatric and medically complex cases • Residency in Essex County NJ • Successful completion of the NJ Choice Certification, including a minimum exam score of 80%, completion of state training modules, and a field mentoring component • Reliable transportation • Willingness and ability to travel up to 75% of the time • Minimum of an Associate Degree in nursing • Experience with LTSS preferred • Case management and/or discharge planning background preferred • Managed care experience preferred • Familiarity with Medicaid and Medicare preferred • Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams) 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