Case Manager Registered Nurse - Field in Northern New Jersey Join to apply for the Case Manager Registered Nurse – Field in Northern New Jersey role at CVS Health
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Field Based RN role in Northern New Jersey – Preference to residents of Essex and Mercer Counties.
The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face‑to‑face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long‑term nursing facilities. The care manager establishes a cost‑effective and member‑centric care plan in collaboration with the member, authorized caregivers, and providers, monitors and evaluates the effectiveness of the care plans, and adjusts the plan based on clinical judgment and member needs. Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery. The care manager takes an interdisciplinary approach to advocate for member’s needs to ensure a safe discharge post‑hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity). Accurate and timely documentation in the member’s electronic health record is essential. The role requires critical thinking, problem‑solving skills, and the ability to work autonomously. Additionally, the care manager may be asked to mentor new hires once proficient in the role.
Required Qualifications
Must reside in the State of New Jersey – assigned a case load based on location.
3+ years’ work experience in pediatric, special needs and/or adult population.
BSN RN with current unrestricted state licensure in New Jersey.
Computer literacy and proficiency navigating internal/external computer systems, and MS Office Suite, including Word and Excel.
Highly organized, flexible, adaptable, and able to embrace change in a fast‑paced environment.
Ability to critically think and navigate challenging situations.
Ability to prioritize competing priorities and meet deadlines.
Self‑motivated and dependable.
Positive, forward‑thinking mindset.
Exceptional communication skills, both verbally and in writing.
Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per company expense reimbursement policy.
Requires face‑to‑face visits in various settings including, but not limited to homes, hospitals, provider settings, etc. Travel requirements are subject to change based on business need.
Preferred
Case Management experience in an integrated model.
Bilingual preferred.
Working knowledge of medical terminology.
Working knowledge of digital literacy skills.
Ability to deal tactfully with customers and community.
Ability to handle sensitive information ethically and responsibly.
CCM (Certified Case Manager).
Remote work experience.
Education
BSN required.
Anticipated Weekly Hours: 40
Time Type: Full time
Pay Range: $66,575.00 – $142,576.00 (base hourly rate or base annual full‑time salary; actual offer will depend on experience, education, geography, and other factors. Eligible for bonus, commission or short‑term incentive program.)
Our people fuel our future. We are committed to fostering a workplace where every colleague feels valued and belongs.
Great Benefits For Great People: We take pride in our comprehensive competitive mix of pay and benefits – investing in physical, emotional, and financial wellness for colleagues and their families. In addition to competitive wages, benefits include:
Affordable medical plan options, a 401(k) plan (including company match), and employee stock purchase plan.
No‑cost programs for all colleagues including wellness screenings, tobacco cessation, weight management, confidential counseling, and financial coaching.
Benefit solutions addressing different needs and preferences including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.