Case Manager Registered Nurse (Field - Must reside in Northern New Jersey; Preferably Middlesex[...]

CVS Health; Livingston (NJ); On-site; USD 45,000 - 52,000; Full time

Job summary

CVS Health is seeking a Case Manager Registered Nurse for a field-based role in Northern New Jersey. This position focuses on assessing members' needs, developing and monitoring care plans, and collaborating with healthcare providers. Ideal candidates have a strong background in nursing, with at least three years of experience, and must possess an RN license. The role requires frequent travel within the state, ensuring a strong commitment to patient care and effective communication. This is a full-time position with a primary focus on quality member support.

Qualifications

• RN with current unrestricted state licensure in New Jersey.
• 3+ years’ work experience in Pediatric, Special Needs, or Adult Population.
• Bilingual preferred, effective communication skills.

Responsibilities

• Assess and evaluate members through assessments in various settings.
• Establish cost-effective care plans with members and care team.
• Monitor effectiveness of care plans and adjust based on needs.

Skills

Critical Thinking

Problem-Solving

Communication

Computer Literacy

Education

Bachelor’s in Science & Nursing

Tools

MS Office Suite

Job description

Case Manager Registered Nurse (Field - Must reside in Northern New Jersey; Preferably Middlesex, Bergan, Essex, Somerset, or Union County)

Join to apply for the Case Manager Registered Nurse (Field - Must reside in Northern New Jersey; Preferably Middlesex, Bergan, Essex, Somerset, or Union County) role at CVS Health

Case Manager Registered Nurse (Field - Must reside in Northern New Jersey; Preferably Middlesex, Bergan, Essex, Somerset, or Union County)

2 days ago Be among the first 25 applicants

Join to apply for the Case Manager Registered Nurse (Field - Must reside in Northern New Jersey; Preferably Middlesex, Bergan, Essex, Somerset, or Union County) role at CVS Health

This Case Manager RN position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of the Northern part of New Jersey, preferably Middlesex, Bergen, Essex, Somerset, or Union County NJ. The requirements is for candidates to hold a NJ Registered Nurse License, and travel 50-75% of the time to meet with members face to face. The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long term nursing facilities. The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers. The care manager monitors and evaluates the effectiveness of the care plans and adjust the care plan based on clinical judgement and member needs. Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery. The care manager will take an interdisciplinary approach to advocate for member’s needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity). Accurate and timely documentation in the member’s electronic health record is essential. The care manager role requires critical thinking, problem-solving skills, and the ability to work autonomously. Additionally, the care manager may be asked to mentor new hires once proficient in the role. Required Qualifications include 3+ years’ work experience in Pediatric, Special Needs and/or Adult Population, RN with current unrestricted state licensure in the State of New Jersey, must reside in Northern New Jersey (Middlesex, Bergan, Essex, Somerset, or Union County), must possess reliable transportation and be willing to travel 50-75% of the time, computer literacy and proficiency in MS Office Suite. Preferred Qualifications include 2+ years experience managing populations with mental health and/or substance use disorders, Certified Case Manager Certification, Case Management experience in an integrated model, bilingual preferred, effective communication skills, knowledge of medical terminology and digital literacy, ability to handle sensitive information ethically. Education required is Bachelor’s in Science & Nursing, Social Work, or related field and RN licensure in New Jersey. The position is full-time with anticipated weekly hours of 40.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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