Remote RN Case Manager for Medicare/Medicaid

CVS Health; Jersey City (NJ); Remote; USD 67,000 - 143,000; Full time

Job summary

CVS Health is seeking a Nurse Care Manager for a work-from-home role with 25-50% travel primarily in Ocean County, NJ. The position supports Integrated Care Management (ICM) for dual-eligible populations, coordinating assessments, plans of care, and services to improve member wellness.

Required RN license in NJ and 3+ years clinical experience; travel with own vehicle is essential. Associate degree in nursing; Bachelor’s degree preferred. Competitive benefits and full-time hours offered.

Qualifications

• Active and unrestricted RN license in NJ.
• 3+ years of clinical practice experience.
• Willing and able to travel 25-50% using your own vehicle.
• Must reside in Ocean or surrounding County, NJ.

Responsibilities

• Evaluate member needs using clinical data and claims to plan care.
• Apply clinical judgment to reduce risk factors and barriers in care planning.
• Coordinate case management activities to support member wellness.
• Collaborate with supervisors and care team members across settings.
• Use motivational interviewing to engage members and assess health needs.

Skills

Clinical communication

Analytical thinking

Problem solving

Independent worker

Bilingual preferred

Education

Associate's Degree in Nursing

Bachelor's Degree Preferred

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

CVS Health is seeking a Nurse Care Manager for a work-from-home role with 25-50% travel primarily in Ocean County, NJ. The position supports Integrated Care Management (ICM) for dual-eligible populations, coordinating assessments, plans of care, and services to improve member wellness.

Required RN license in NJ and 3+ years clinical experience; travel with own vehicle is essential. Associate degree in nursing; Bachelor’s degree preferred. Competitive benefits and full-time hours offered.