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

CVS Health; United States; Remote; USD 72,000 - 156,000; Full time

Job summary

A leading health solutions company is seeking a Case Manager Registered Nurse to join their Long-Term Services and Supports team. This field-based role requires a New Jersey RN license and involves assessing and coordinating care for members in various settings. The position demands strong problem-solving skills and the ability to work autonomously, with travel required for member meetings. The role offers a competitive salary, benefits, and opportunities for professional growth.

Benefits

Medical Plans

401(k)

Stock Purchase

Wellness Programs

Paid Time Off

Flexible Schedules

Qualifications

• 3+ years’ experience with Pediatric, Special Needs, or Adult populations.
• 2+ years managing populations with mental health/substance use disorders.

Responsibilities

• Assess and evaluate members through telephonic and face-to-face assessments.
• Establish and monitor cost-effective, member-centric care plans.

Skills

Problem-solving

Communication

Critical Thinking

Digital Literacy

Education

Bachelor’s Degree in Science & Nursing

Tools

MS Office

Job description

Case Manager Registered Nurse (Field – Must reside in Northern and Upper Central Region of New Jersey; Preferably Mercer, Middlesex, or Somerset County)

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 more connected, more convenient, and more compassionate. 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 out of 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 through telephonic and face-to-face assessments in various settings, including private residences, hospitals, behavioral health facilities, and long-term nursing facilities.

They establish a cost-effective, member-centric care plan in collaboration with the member, authorized caregivers, and providers. The care manager monitors and evaluates the effectiveness of these plans, adjusting based on clinical judgment and member needs. They coordinate with members, authorized representatives, primary care providers, and other care team members to ensure timely service delivery and advocate for members’ needs, including post-hospitalization discharges and transitions from nursing facilities, addressing social needs like housing and food insecurity. Accurate, timely documentation in the electronic health record is essential. The role requires critical thinking, problem-solving skills, and autonomy. Mentoring new hires may be expected once proficient.

Required Qualifications

• Must reside in the Northern and Upper Central Region of New Jersey, preferably Middlesex, Bergen, or Essex County
• Reliable transportation and willingness to travel 50-75% with mileage reimbursement
• 3+ years’ experience with Pediatric, Special Needs, or Adult populations
• 2+ years managing populations with mental health/substance use disorders
• RN with current unrestricted New Jersey license
• Proficiency in navigating computer systems and MS Office applications

Preferred Qualifications

• Certified Case Manager Certification
• Experience in an integrated case management model
• Bilingual skills (preferred)
• Effective verbal and written communication skills
• 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 Information

Anticipated weekly hours: 40

Time Type: Full-time

Pay Range: $72,627.00 - $155,538.00, depending on experience and other factors. Role eligible for bonus and incentive programs.

Benefits include medical plans, 401(k), stock purchase, wellness programs, paid time off, flexible schedules, and more. For details, visit CVS Benefits.

Application deadline: 06/14/2025

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

About CVS Health

We’re committed to helping people achieve better health through accessible, affordable, and seamless care, fostering a workplace where every colleague feels valued and included.