Remote RN Case Manager & Care Coordinator

CVS Health; Trenton (NJ); On-site; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Retirement options

Paid time off

Job summary

CVS Health in New Jersey is seeking an ICM Case Manager to develop proactive plans of care, coordinate services, and improve member wellness. This remote, full‑time role involves 25‑50% travel within Somerset County, with a standard 8–5 schedule and home-based work setup.

The role emphasizes advocating for dual-eligible members, coordinating with providers and community partners, and delivering comprehensive, person-centered care management across Medicare and Medicaid populations.

Qualifications

• Minimum 3+ years of clinical practice experience.
• Active and unrestricted RN licensure in NJ.
• Willing to travel 25-50% with own vehicle; mileage reimbursed.
• Must reside near Somerset County, NJ.

Responsibilities

• Uses clinical tools to evaluate members' needs and benefits.
• Applies clinical judgment to reduce risk factors and barriers.
• Conducts assessments using claims and health data.
• Assesses need for referrals to clinical resources and team members.
• Collaborates with stakeholders to overcome barriers and achieve goals.
• Uses case management processes compliant with policies.

Skills

Clinical practice

RN licensure NJ

Travel readiness

Remote work

Communication skills

Education

Associate degree

Bachelor’s degree preferred

Job description

CVS Health in New Jersey is seeking an ICM Case Manager to develop proactive plans of care, coordinate services, and improve member wellness. This remote, full‑time role involves 25‑50% travel within Somerset County, with a standard 8–5 schedule and home-based work setup.

The role emphasizes advocating for dual-eligible members, coordinating with providers and community partners, and delivering comprehensive, person-centered care management across Medicare and Medicaid populations.