Case Manager RN - Field (Passaic County, NJ)

IntelliResume; New Jersey; On-site; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Field Case Manager RN in Passaic County, NJ. This role assesses, plans, implements, and coordinates case management activities for members with a focus on dual eligible populations, in a full-time schedule from 8:00 am to 5:00 pm.

The ideal candidate holds an Associate's Degree in Nursing (Bachelor's preferred), with 3+ years clinical practice and 2+ years in care management or related areas. NJ RN license required; CCM preferred.

Qualifications

• Associate's Degree in Nursing required.
• Bachelor's Degree in Nursing preferred.
• Minimum 3+ years of clinical practice experience.
• Minimum 2+ years in Care Management, Discharge Planning, and/or Home Health Care Coordination preferred.
• Active and unrestricted RN license in the state of NJ required.
• Certified Case Manager preferred.

Responsibilities

• Assess, plan, implement, and coordinate all case management activities with members.
• Develop a proactive plan of care to enhance short and long-term outcomes.
• Use clinical tools and data review to evaluate member needs and benefits.
• Apply clinical judgment to address complex health and social indicators.
• Conduct assessments considering various sources, including claims.
• Use a holistic approach to determine the need for referrals to clinical resources.
• Collaborate with supervisors and stakeholders to overcome barriers.
• Present cases at interdisciplinary case conferences.
• Utilize motivational interviewing skills for member engagement.
• Ensure compliance with regulatory and company policies and procedures.

Job description

About This Role

The Case Manager RN - Field position at CVS Health involves assessing, planning, implementing, and coordinating case management activities for members in Passaic County, NJ. This role is ideal for experienced nurses who are passionate about improving the health and wellness of dual eligible populations.

Highlights

• Pay: $66,575.00 - $142,576.00
• Location: Passaic, NJ
• Brand/Division: Aetna
• Schedule: Full-time, Monday – Friday, 8-5 pm
• Residency: Must reside in Passaic County, NJ
• Travel: 25-50% travel

What You'll Do

• Assess, plan, implement, and coordinate all case management activities with members.
• Develop a proactive plan of care to enhance short and long-term outcomes.
• Use clinical tools and data review to evaluate member needs and benefits.
• Apply clinical judgment to address complex health and social indicators.
• Conduct assessments considering various sources, including claims.
• Use a holistic approach to determine the need for referrals to clinical resources.
• Collaborate with supervisors and stakeholders to overcome barriers.
• Present cases at interdisciplinary case conferences.
• Utilize motivational interviewing skills for member engagement.
• Ensure compliance with regulatory and company policies and procedures.

Requirements

Education:

• Associate's Degree in Nursing required, Bachelor's Degree in Nursing preferred.

Experience:

• Minimum 3+ years of clinical practice experience required.
• Minimum 2+ years in Care Management, Discharge Planning, and/or Home Health Care Coordination preferred.

Licenses & Certifications:

• Active and unrestricted RN license in the state of NJ required.
• Certified Case Manager preferred.

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

About CVS Health

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on creating a more connected and compassionate health experience for individuals and communities.