Case Manager Registered Nurse (Field - Must reside in Northern and Upper Central Region of New [...]

Hispanic Alliance for Career Enhancement; Eugene (OR); On-site; USD 72,000 - 156,000; Full time

Job summary

An established industry player is seeking a dedicated Case Manager Registered Nurse to join their team. This full-time role involves assessing and managing care for members, requiring strong problem-solving and communication skills. You will collaborate with caregivers and providers to create tailored care plans while advocating for member needs. The position offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact in the lives of individuals in need. If you are passionate about healthcare and have the necessary qualifications, this is a fantastic opportunity to advance your career.

Benefits

Medical Benefits

401(k)

Stock Purchase Plan

Wellness Programs

Paid Time Off

Flexible Schedules

Qualifications

• 3+ years of experience with Pediatric, Special Needs, or Adult populations.
• Current RN license in New Jersey required.

Responsibilities

• Establish cost-effective, member-centric care plans.
• Monitor and adjust care plans based on member needs.

Skills

Pediatric Care

Mental Health Management

Problem-Solving Skills

Communication Skills

Decision-Making Skills

Bilingual Skills

Education

Bachelor's Degree in Science & Nursing

Tools

MS Office Applications

Job description

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

This Case Manager Registered Nurse position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based role serving the Northern and upper Central Region of New Jersey, preferably Middlesex, Bergen, or Essex County. Candidates must hold an NJ Registered Nurse License and be willing to travel 50-75% of the time for face-to-face member meetings.

The care manager assesses and evaluates members with potential care management needs via telephonic and face-to-face assessments in settings such as private residences, hospitals, behavioral health facilities, and long-term nursing facilities.

Responsibilities include establishing a cost-effective, member-centric care plan in collaboration with the member, authorized caregivers, and providers; monitoring and adjusting care plans based on clinical judgment and member needs; coordinating services with members, their representatives, primary care providers, and care teams; advocating for member needs to ensure safe discharges and transitions; and documenting accurately in electronic health records. The role requires critical thinking, problem-solving skills, autonomy, and may include mentoring new hires.

Required Qualifications

• 3+ years of experience working with Pediatric, Special Needs, or Adult populations
• 2+ years managing populations with mental health and/or substance use disorders
• RN license in the State of New Jersey (current and unrestricted)
• Reside in the Northern or upper Central Region of New Jersey, preferably in Middlesex, Bergen, or Essex County
• Reliable transportation and willingness to travel up to 75%; mileage reimbursed
• Proficiency in computer systems and MS Office applications

Preferred Qualifications

• Certified Case Manager Certification
• Experience in an integrated case management model
• Bilingual skills (preferred)
• Strong communication, problem-solving, and decision-making skills
• Knowledge of medical terminology and digital literacy
• Ability to handle sensitive information ethically and tactfully

Education

• Bachelor's Degree in Science & Nursing

Additional Details

Full-time position, 40 hours/week. Pay range: $72,627 - $155,538, depending on experience and other factors. Includes benefits such as medical, 401(k), stock purchase plan, wellness programs, paid time off, flexible schedules, and more. Application deadline: 05/30/2025. For more info, visit CVS Benefits.