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

CVS Health; Ocean City (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 through home visits and assessments. The role requires strong clinical judgment, effective communication, and collaboration with healthcare teams to support member wellness. Candidates must have an active RN license in New Jersey and relevant experience in a clinical setting, with a focus on patient-centered care.

Benefits

Affordable medical plans

401(k) with matching

Paid time off and flexible schedules

Tuition assistance

Qualifications

• Active RN license in NJ required.
• 3+ years clinical experience in relevant settings.
• Successful completion of NJ Choice certification.

Responsibilities

• Conduct home assessments and develop care plans.
• Coordinate care with healthcare team.
• Mentor new hires in care management practices.

Skills

Assessment

Communication

Critical Thinking

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

Location: Ocean 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 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, utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE). Responsibilities include face-to-face assessments with non-MLTSS members to evaluate medical needs, facilitate overall wellness, and help obtain necessary services. Successful completion of the NJ Choice Certification is required for continued employment. The role may include pediatric and medically complex cases. The case manager coordinates and collaborates care with the member/authorized representative, PCP, and other care team participants, schedules and attends interdisciplinary meetings, and advocates for proper discharge and services. They develop care plans and authorize services within the MLTSS/FIDE benefit, document accurately in the electronic health record, and use critical thinking to problem-solve. Mentoring new hires is also part of the role. Travel of 50 to 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 clinical practice experience (hospital, home health, ambulatory care)
• Reliable transportation and willingness to travel up to 75% (mileage reimbursed)
• Successful completion (80% or higher) of NJ Choice certification

Preferred Qualifications

• Case management/discharge planning experience
• LTSS experience
• Managed Care experience
• Crisis intervention skills
• Proficiency with computers and Microsoft Office

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, geography, and other factors. This position is eligible for bonuses, commissions, or incentives in addition to base pay.

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

Great benefits for great people

Our benefits include:

• Affordable medical plans, 401(k) with matching, employee stock purchase plan
• No-cost wellness, tobacco cessation, weight management, counseling, and financial coaching programs
• 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 closes on 06/30/2025.

Qualified applicants with arrest or conviction records will be considered in accordance with laws.