Remote/Field Travel RN Case Manager — NJ

CVS Health Corporation; Bloomfield (NJ); Remote; USD 67,000 - 143,000; Full time

Job summary

CVS Health Corporation in New Jersey is seeking a Registered Nurse for a full-time field/work-at-home role with up to 75% travel across Essex and surrounding counties. The position focuses on developing, implementing, and supporting health service strategies, with rigorous clinical judgment and coordination of services.

Responsibilities include care planning, collaboration with providers, and documentation in the electronic health record.

Qualifications

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

Responsibilities

• Conduct face-to-face home visits using comprehensive assessment tools for members enrolled in MLTSS and/or D-SNP/FIDE.
• Perform in-person assessments for non-MLTSS members to determine medical needs and refer services.
• Complete NJ Choice Certification as required for continued employment.
• Work with diverse populations, including pediatric and medically complex members.
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
• Schedule and participate in interdisciplinary meetings, advocate for safe transitions and appropriate services.
• Develop individualized care plans and authorize services within MLTSS/FIDE benefits.
• Document all assessments, interactions, and care planning activities in the EHR.
• Utilize strong critical-thinking and problem-solving skills.
• Mentor new staff after proficiency is achieved.

Education

Associate degree in Nursing

RN license

Job description

CVS Health Corporation in New Jersey is seeking a Registered Nurse for a full-time field/work-at-home role with up to 75% travel across Essex and surrounding counties. The position focuses on developing, implementing, and supporting health service strategies, with rigorous clinical judgment and coordination of services.

Responsibilities include care planning, collaboration with providers, and documentation in the electronic health record.