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

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

Job summary

CVS Health is seeking a Case Manager Registered Nurse to provide quality healthcare services in New Jersey. This full-time position involves conducting assessments, care planning, and collaboration with various providers. Applicants must have an active RN license and at least 3 years of clinical experience.

Benefits

Affordable medical plans

401(k) with matching

Paid time off

Tuition assistance

Qualifications

• Active RN license in NJ required.
• 3+ years clinical practice experience.
• Must reside in Atlantic or Cape May County.

Responsibilities

• Develop and implement health service strategies.
• Conduct face-to-face visits for assessments.
• Coordinate care with members and care teams.

Skills

Critical thinking

Assessment skills

Communication

Education

Associates Degree in Nursing

Tools

Microsoft Office

Job description

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

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

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. Health service strategies, policies, and programs 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 available resources in a cost-effective manner. Strong assessment, writing, and communication skills are required.

Fundamental Components/Job Description:

The Case Manager is responsible for conducting face-to-face visits in the 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). The case manager may also assess non-MLTSS members to evaluate medical needs and facilitate overall wellness, addressing requests such as adult or pediatric medical daycare, personal care, nursing facility requests, and program enrollments. Completion of the NJ Choice Certification is required for employment. Member assignments may include pediatric and medically complex cases. The case manager coordinates care with members, authorized representatives, PCPs, and care teams, schedules interdisciplinary meetings, advocates for safe discharges, develops care plans, and authorizes services within the MLTSS/FIDE benefits. Accurate and timely documentation in the electronic health record is essential. The role requires critical thinking and problem-solving skills. Mentoring new hires is also expected after proficiency is attained. Travel of 50-75% within Atlantic, Cape May, and surrounding counties is required.

Required Qualifications

• Active and Unrestricted RN license in NJ
• Must reside in Atlantic or Cape May County, NJ
• 3+ years of clinical practice experience (e.g., hospital, home health, ambulatory care)
• Reliable transportation and willingness to travel 50-75%, with mileage reimbursed
• Successful completion (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 salary will depend on experience, education, location, and other factors. The position may include bonuses or incentives.

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

Benefits include:

• Affordable medical plans, 401(k) with matching, stock purchase plan
• No-cost wellness programs, counseling, financial coaching
• Paid time off, flexible schedules, family leave, dependent care, tuition assistance, retiree medical, and more

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

Application deadline: 06/30/2025

Qualified applicants with arrest or conviction records will be considered per law.

About CVS Health

We help people on their path to better health through health services, plans, and community pharmacists, pioneering a new approach to total health.

Notice

CVS Health is 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 show proof of work eligibility. An automated scoring tool may be used in hiring decisions. For NYC applicants, alternative processes are available.