Case Manager Registered Nurse - Field (Ocean County, NJ)

CVS Health; New Jersey; Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Nurse Care Manager for a work-from-home role with 25–50% travel across Ocean County, NJ. You will assess member needs, coordinate care, and collaborate with the healthcare team to improve outcomes.

The ideal candidate has an NJ RN license, 3+ years of clinical practice, and is comfortable traveling to meet members in their area. Remote work with occasional on-site visits is available, and a comprehensive benefits package is offered.

Qualifications

• Active and unrestricted RN license in NJ
• Willing to travel 25–50% of time using own vehicle
• Must reside in Ocean or surrounding County, NJ

Responsibilities

• Assess, plan, implement and coordinate all case management activities for members
• Evaluate medical needs and facilitate overall wellness
• Collaborate with physicians, nurses, and community resources to address barriers and optimize care
• Conduct holistic assessments and determine referrals to clinical resources
• Engage members using motivational interviewing to maximize participation

Skills

RN license NJ

Travel readiness

Home-based care

Education

Associate’s Degree in Nursing

Bachelor's Degree preferred

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is a work from home flexible position with 25-50% travel in Ocean County New Jersey. Travel will be up to a 50 mile radius from your home. Standard working hours Monday – Friday 8-5 pm Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.

Responsibilities

• Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
• Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
• Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
• Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
• Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.
• Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

The protection and security of our colleagues is paramount. CVS Health encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available.

Required Qualifications

Minimum 3+ years of clinical practice experience Must have active and unrestricted RN license in the state of NJ Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy Must reside in Ocean or surrounding County, NJ

Preferred Qualifications

Certified Case Manager is preferred. Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently Effective computer skills including navigating multiple systems and keyboarding Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications Bilingual Preferred.

Education

Associate’s Degree in Nursing Bachelor's Degree Preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Benefits

Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Closing Date

We anticipate the application window for this opening will close on: 11/14/2026

Company Culture

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.