Field-Based RN Case Manager – NJ Home Health & MLTSS

CVS Health Corporation; East Orange (NJ); Hybrid; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health Corporation is seeking a Registered Nurse Case Manager for field work in Essex and surrounding counties, NJ. This full-time role requires up to 75% travel and home visits to support ML TSS and D-SNP/FIDE members.

You will develop, implement, and support health service strategies, coordinating with providers and care teams to promote high-quality care. Residency in Essex or adjacent counties is required.

Qualifications

• Active, unrestricted RN license in New Jersey.
• Minimum of 3 years of clinical experience in hospitals, home health, or ambulatory care.
• NJ Choice Certification completed (exam 80%+, state training).
• Residency in Essex or adjacent counties.
• Willingness to travel up to 75% within Essex and surrounding counties.

Responsibilities

• Conduct face-to-face home visits with assessment tools for MLTSS and/or D-SNP/FIDE members.
• Perform in-person assessments for non-MLTSS members to determine needs and referrals.
• Coordinate with providers, representatives, and care teams for safe transitions.
• Develop individualized care plans and authorize services within program benefits.
• Document assessments and care planning accurately in the electronic health record.

Skills

RN license

Education

Associate degree in Nursing

Job description

CVS Health Corporation is seeking a Registered Nurse Case Manager for field work in Essex and surrounding counties, NJ. This full-time role requires up to 75% travel and home visits to support ML TSS and D-SNP/FIDE members.

You will develop, implement, and support health service strategies, coordinating with providers and care teams to promote high-quality care. Residency in Essex or adjacent counties is required.