Case Manager Registered Nurse (Field Must reside in Southern and Lower Central Region of New J[...]

The Muse; Burlington (NJ); On-site; USD 72,000 - 156,000; Full time

Job summary

A leading company in healthcare is looking for a Case Manager Registered Nurse to provide integrated care management in New Jersey. This full-time position requires strong problem-solving skills, clinical judgment, and a commitment to meeting diverse patient needs through assessments and collaborative planning. Candidates should have a valid New Jersey RN license and relevant experience in managing complex care populations.

Benefits

Medical benefits

401(k) plan

Stock purchase options

Wellness programs

Flexible schedules

Paid time off

Qualifications

• RN with current, unrestricted New Jersey license.
• 3+ years' experience with Pediatric, Special Needs, or Adult populations.
• 2+ years managing populations with mental health and/or substance use disorders.

Responsibilities

• Assess and evaluate members' care needs through telephonic and face-to-face assessments.
• Develop and monitor member-centric care plans in collaboration with care teams.
• Document accurately in electronic health records.

Skills

Critical thinking

Problem-solving

Communication

Decision-making

Education

Bachelor's degree in Science & Nursing

Tools

MS Office Suite

Job description

Case Manager Registered Nurse (Field Must reside in Southern and Lower Central Region of New Jersey)

Join to apply for the Case Manager Registered Nurse (Field Must reside in Southern and Lower Central Region of New Jersey) role at The Muse.

This position is with Aetna's Integrated Care Management (ICM) team and is field-based out of the Southern and Lower Central Region of New Jersey, preferably Ocean, Monmouth, or Atlantic County. Candidates must hold a NJ Registered Nurse License and be willing to travel 50-75% of the time to meet members face-to-face.

The care manager assesses and evaluates members with potential care needs through telephonic and face-to-face assessments in various settings, including members' residences, hospitals, behavioral health, and long-term care facilities. They develop and monitor cost-effective, member-centric care plans in collaboration with members, caregivers, and providers, adjusting plans based on clinical judgment and member needs. Coordination with the care team ensures timely service delivery, and addressing social needs such as housing and food insecurity is part of the role. Accurate documentation in electronic health records is essential. Critical thinking, problem-solving skills, and the ability to work autonomously are required. Mentoring new hires may be part of the responsibilities.

Required Qualifications

• Must reside in Southern and Lower Central Region of New Jersey; preferably Ocean, Monmouth, or Atlantic County
• 3+ years' experience with Pediatric, Special Needs, or Adult populations
• 2+ years managing populations with mental health and/or substance use disorders
• RN with current, unrestricted New Jersey license
• Reliable transportation and willingness to travel 50-75%; mileage reimbursed
• Proficiency in computer systems and MS Office Suite

Preferred Qualifications

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

Education

• Bachelor's degree in Science & Nursing

Additional Details

Full-time, 40 hours/week. Salary range: $72,627 - $155,538, depending on experience and location. Benefits include medical, 401(k), stock purchase, wellness programs, paid time off, flexible schedules, and more. Application deadline: 06/30/2025.

This job is active and accepting applications.