Remote RN Case Manager: Medicare/Medicaid Care Coordination

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

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health is hiring a frontline Integrated Care Management (ICM) Care Manager in Essex County, NJ, with 40 hours weekly and a flexible work-from-home arrangement. The role focuses on assessing and coordinating care for dual-eligible members, partnering with providers and community resources to improve wellness and outcomes.

Qualified candidates hold RN licensure in NJ with 3+ years of clinical practice and are prepared to travel 25–50% per requirement.

Qualifications

• Minimum 3+ years of clinical practice experience.
• Active and unrestricted RN licensure in NJ.
• Must reside in Essex County, NJ.
• Willing and able to travel 25–50% of time using own vehicle.

Responsibilities

• Uses clinical tools and data to evaluate members' needs and benefits.
• Applies clinical judgment to develop strategies to reduce risk factors.
• Conducts assessments from multiple sources to address conditions impacting functionality.
• Assesses need for referrals to clinical resources and interdisciplinary teams.
• Collaborates with supervisors and stakeholders to overcome barriers and present cases.

Skills

Clinical practice

Bilingual

Travel readiness

Time management

Education

Associate's Degree in Nursing

Bachelor’s Degree in Nursing

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

CVS Health is hiring a frontline Integrated Care Management (ICM) Care Manager in Essex County, NJ, with 40 hours weekly and a flexible work-from-home arrangement. The role focuses on assessing and coordinating care for dual-eligible members, partnering with providers and community resources to improve wellness and outcomes.

Qualified candidates hold RN licensure in NJ with 3+ years of clinical practice and are prepared to travel 25–50% per requirement.