Case Manager Registered Nurse - Field - Must reside in Atlantic City/Cape May

CVS Health; Atlantic City (NJ); On-site; USD 72,000 - 156,000; Full time

Job summary

A leading healthcare company is seeking a Case Manager Registered Nurse to join their team in Atlantic City. The role involves conducting assessments, developing care plans, and collaborating with care teams to provide quality healthcare solutions. Ideal candidates will hold an RN license in NJ and possess strong communication and critical thinking skills.

Benefits

Affordable medical plans

401(k) with matching

Flexible work schedules

Paid time off

Tuition assistance

Qualifications

• Active and Unrestricted RN license in NJ required.
• 3+ years of clinical practice experience.
• Successful completion of NJ Choice certification with a score of 80% or higher is mandatory.

Responsibilities

• Conduct face-to-face assessments in members' homes.
• Coordinate with care teams to develop care plans.
• Document services accurately and in a timely manner.

Skills

Critical thinking

Problem-solving

Communication

Assessment skills

Education

Associates Degree in Nursing

Job description

Case Manager Registered Nurse - Field - Must reside in Atlantic City/Cape May

Pay $72,627.00 - $155,538.00 / year

Location Atlantic City/New Jersey

Employment type Full-Time

Job Description

Req#: R0618838

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Job description:

Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. These strategies include utilization management, quality management, network management, clinical coverage, and policies. The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, and psychosocial wrap-around services. The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of resources in a cost-effective manner. Strong assessment, writing, and communication skills are essential.

Fundamental Components/Job Description:

The Case Manager is responsible for conducting face-to-face visits in members' homes using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE). They may also assess non-MLTSS members to evaluate medical needs and facilitate overall wellness, addressing services such as adult and pediatric medical daycare, personal care assistance, nursing facility requests, personal preference programs, and MLTSS enrollment. Successful completion of the NJ Choice Certification is required for employment. The case manager will coordinate and collaborate with members, providers, and care teams, develop care plans, and authorize services within the MLTSS/FIDE benefits. Accurate and timely documentation in the electronic health record is essential. The role involves critical thinking, problem-solving, and mentoring new hires after proficiency is attained. Travel of 50-75% within Atlantic/Cape May Counties and surrounding areas is expected.

Required Qualifications

• Active and Unrestricted RN license in NJ
• Must reside in Atlantic or Cape May County, NJ
• 3+ years of clinical practice experience in settings such as hospitals, home health, or ambulatory care
• Reliable transportation and willingness to travel up to 75%; mileage reimbursed
• Successful completion (score of 80% or higher) of NJ Choice certification is mandatory

Preferred Qualifications

• Case management and/or discharge planning experience
• LTSS experience
• Managed Care experience
• Crisis intervention skills
• Proficiency with computers and Microsoft Office for 1+ years

Education

• Associates Degree in Nursing

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is $72,627.00 - $155,538.00. The actual offer depends on experience, education, location, and other factors. The position may include bonuses, commissions, or incentives.

Our people fuel our future. We are committed to creating a workplace where every colleague feels valued and included.

Benefits include:

• Affordable medical plans, 401(k) with matching, and stock purchase plans
• No-cost wellness, tobacco cessation, weight management, counseling, and financial coaching programs
• Flexible work schedules, paid time off, family leave, dependent care, tuition assistance, and more

For more, visit https://jobs.cvshealth.com/us/en/benefits

Application deadline: 06/30/2025. Qualified applicants with criminal records will be considered per laws.

About CVS Health

We help people on their path to better health through health services, plans, and community pharmacies, aiming to make care more affordable, accessible, and seamless.

Notice

We are an Equal Opportunity Employer. We provide accommodations for applicants with disabilities. For assistance, contact [e-mail] or call 407-000-0000. All new hires must complete Form I-9 and provide proof of eligibility. An AEDT will score your skills. NYC applicants can request alternative processes at [e-mail] or call 407-000-0000.