Remote RN Case Manager for Medicare & Medicaid

4004 Aetna Medicaid Administrators; New Jersey; On-site; USD 67,000 - 143,000; Full time

Job summary

CVS Health is seeking an ICM Case Manager to develop proactive care plans and improve short- and long-term health outcomes for members with complex health and social needs. The role is remote with 25-50% travel within Middlesex County, NJ, and requires an active NJ RN license and strong collaboration with providers, members, and community organizations.

Candidates should have 3+ years of clinical practice, excellent communication, and the ability to work independently in a home-based setting

Qualifications

• Minimum 3+ years of clinical practice experience.
• Active and unrestricted RN licensure in New Jersey.
• Willing and able to travel 25-50% of time using personal vehicle.

Responsibilities

• Evaluate member needs and benefits using clinical tools and data review.
• Apply clinical judgment to reduce risk factors and plan care with an interdisciplinary team.
• Conduct assessments from multiple sources and coordinate referrals to clinical resources.

Skills

Clinical nursing

Travel readiness

Communication skills

Education

Associate's Degree

Bachelor's Degree

Tools

MS Word

MS Excel

MS Outlook

MS PowerPoint

Job description

CVS Health is seeking an ICM Case Manager to develop proactive care plans and improve short- and long-term health outcomes for members with complex health and social needs. The role is remote with 25-50% travel within Middlesex County, NJ, and requires an active NJ RN license and strong collaboration with providers, members, and community organizations.

Candidates should have 3+ years of clinical practice, excellent communication, and the ability to work independently in a home-based setting