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

CVS Health; West Cape May (NJ); On-site; USD 72,000 - 156,000; Full time

Job summary

A leading health solutions company is seeking a Case Manager Registered Nurse for fieldwork in Atlantic City/Cape May area. The role involves developing care strategies, conducting assessments, and ensuring quality healthcare delivery. Candidates must have an active NJ RN license and extensive clinical experience. Competitive salary with opportunities for bonuses and comprehensive benefits is offered.

Benefits

Medical plans

401(k)

Employee stock purchase

Wellness programs

Paid time off

Flexible schedules

Family leave

Tuition assistance

Qualifications

• Active and unrestricted RN license in NJ required.
• At least 3 years of clinical practice experience needed.
• Successful completion of NJ Choice certification mandatory.

Responsibilities

• Develop and implement health service strategies and programs.
• Conduct face-to-face visits and comprehensive assessments.
• Coordinate care plans and collaborate with care teams.

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: West Cape May, New Jersey

Employment type: Full-Time

Job Description

• Req#: R0618838

At CVS Health, we’re building a world of health around every consumer, surrounded by dedicated colleagues passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through local presence, digital channels, and over 300,000 purpose-driven colleagues — caring for people in ways that are more connected, more convenient, and more compassionate. We do all this with heart, every day.

Position Summary

The Care Manager will develop, implement, support, and promote health service strategies, policies, and programs that ensure the delivery of quality healthcare to our members. Responsibilities include utilization management, quality management, network management, clinical coverage, and policies. The role 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 resource utilization 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 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). They 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 enrollment. Completion of the NJ Choice Certification is required to maintain employment. The case manager will coordinate and collaborate with members, authorized representatives, PCPs, and care teams, schedule and attend interdisciplinary meetings, and advocate for proper discharge and services. They will develop care plans, authorize services within benefit guidelines, document accurately in electronic health records, and mentor new hires once proficient. Travel of 50-75% within Atlantic and 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
• At least 3 years of clinical practice experience (hospital, home health, ambulatory care, etc.)
• Reliable transportation and willingness to travel 50-75%; mileage reimbursed
• Successful completion of NJ Choice certification (score 80% or higher) is mandatory

Preferred Qualifications

• Case management or discharge planning experience
• Experience with LTSS and managed care
• Crisis intervention skills
• Proficiency with computers and Microsoft Office (1+ year)

Education

• Associates Degree in Nursing

Additional Details

Weekly hours: 40

Time type: Full-time

Pay Range: $72,627 - $155,538, depending on experience, education, and location. The role is eligible for bonuses, commissions, or incentives.

Benefits include medical plans, 401(k), employee stock purchase, wellness programs, paid time off, flexible schedules, family leave, tuition assistance, and more. For details, visit https://jobs.cvshealth.com/us/en/benefits.

The application window closes on 06/30/2025. Qualified applicants with criminal records will be considered per applicable laws.

About CVS Health

We are committed to helping people on their path to better health through accessible, affordable, and seamless care.

Notice

CVS Health is an Equal Opportunity Employer. Accommodations are available for applicants with disabilities. For assistance, contact [e-mail] or call 407-000-0000. All new hires must complete Form I-9. An AEDT will score your skills and responses. For NYC applicants, alternative processes or accommodations are available upon request.