Remote RN Case Manager — Field-Based, NJ

CVS Health Corporation; New York (NY); Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Job summary

CVS Health Corporation is seeking a Registered Nurse Case Manager to support Essex County and nearby areas in a remote role with up to 75% field travel. You will conduct in-home assessments, coordinate medical, behavioral and psychosocial services, and develop individualized care plans while collaborating with PCPs and interdisciplinary teams.

This full-time role requires an active NJ RN license, 3+ years in clinical practice, and willingness to travel.

Qualifications

• Active, unrestricted RN license in New Jersey.
• Comfort conducting field-based home visits across all socioeconomic levels and community settings, including a wide range of living conditions.
• 3+ years of clinical practice experience.
• 3+ years of experience in home health, hospice, or a similar setting.
• Ability to manage pediatric and medically complex cases.
• Residency in Essex County NJ.
• Successful completion of the NJ Choice Certification, including: Minimum exam score of 80%, Completion of state training modules, Field mentoring component
• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Responsibilities

• Conduct in-home, face-to-face assessments for members enrolled in: Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE).
• Evaluate member needs and coordinate services such as: Adult/pediatric medical day care, Personal care assistant services, Nursing facility placement, MLTSS program enrollment.
• Partner with members, caregivers, PCPs, and interdisciplinary teams to develop and implement individualized care plans. Authorize services in alignment with program guidelines and support safe transitions of care. Document all case activity accurately and promptly in the electronic health record. Apply strong clinical judgment and critical thinking to manage complex care needs.
• Mentor new team members once proficiency is achieved.

Skills

RN license

Field-based visits

Critical thinking

Education

Associate Degree in nursing

Tools

MS Office Suite

Job description

CVS Health Corporation is seeking a Registered Nurse Case Manager to support Essex County and nearby areas in a remote role with up to 75% field travel. You will conduct in-home assessments, coordinate medical, behavioral and psychosocial services, and develop individualized care plans while collaborating with PCPs and interdisciplinary teams.

This full-time role requires an active NJ RN license, 3+ years in clinical practice, and willingness to travel.