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

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

Job summary

Join a leading healthcare provider as a Case Manager Registered Nurse in New Jersey, focusing on integrated care management. You will assess members' needs and develop comprehensive care plans while collaborating with caregivers and providers. This full-time role offers a $1,000 sign-on bonus and a competitive salary range, along with various benefits.

Benefits

Medical benefits

401(k)

Stock purchase plan

Wellness programs

Paid time off

Flexible schedules

Qualifications

• 3+ years experience with Pediatric, Special Needs, and/or Adult populations.
• 2+ years managing populations with mental health and/or substance use disorders.
• Bilingual skills desired; proficient in medical terminology.

Responsibilities

• Assess and evaluate members through telephonic and face-to-face assessments.
• Coordinate services and develop member-centric care plans.
• Document accurately in electronic health records.

Skills

Communication

Problem-solving

Digital literacy

Education

Bachelor's degree in Nursing

Tools

MS Office Suite

Job description

Case Manager Registered Nurse - Field Must reside in Southern and Lower Central Region of New Jersey - $1,000 Sign on Bonus

Join to apply for the Case Manager Registered Nurse - Field Must reside in Southern and Lower Central Region of New Jersey - $1,000 Sign on Bonus role at The Muse.

Position Summary

This position offers a $1,000 Sign on Bonus for external applicants! The Case Manager Registered Nurse will be part of Aetna's Integrated Care Management (ICM) team, a field-based role primarily based in the Southern and Lower Central Region of New Jersey, ideally in 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 with members face-to-face.

The care manager assesses and evaluates members with potential care management needs through telephonic and face-to-face assessments in various settings including the member's residence, hospitals, behavioral health, and long-term care facilities. They develop and monitor member-centric, cost-effective care plans in collaboration with members, caregivers, and providers, adjusting plans based on clinical judgment and evolving needs.

The role involves coordinating services, advocating for members, addressing social needs such as housing and food insecurity, and ensuring timely service delivery. Accurate documentation in the electronic health record and working autonomously are essential skills. Mentoring new hires may also 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 of experience with Pediatric, Special Needs, and/or Adult populations
• 2+ years managing populations with mental health and/or substance use disorders
• RN with current, unrestricted NJ licensure
• Reliable transportation and willingness to travel 50-75% of the time; mileage reimbursed
• Proficiency in computer systems, MS Office Suite, Word, and Excel

Preferred Qualifications

• Certified Case Manager Certification
• Experience in an integrated case management model
• Bilingual skills
• Strong communication, problem-solving, and medical terminology knowledge
• Digital literacy skills and ability to handle sensitive information ethically

Education

• Bachelor's degree in Nursing

Additional Details

Full-time, 40 hours/week. Pay range: $72,627 - $155,538, depending on experience and location. Benefits include medical, 401(k), stock purchase plan, wellness programs, paid time off, flexible schedules, and more. Application deadline: 07/10/2025.

Employment Details

• Level: Mid-Senior
• Type: Full-time
• Function: Healthcare Provider