Case Manager, Registered Nurse - Field

CVS Health

. Develop proactive plans of care addressing identified issues and enhancing short- and long-term outcomes .

Posted 11/6/2026full-timeRemote • New Jersey • United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical assessment and care management, with a strong focus on developing proactive care plans and collaborating with interdisciplinary teams. Proficient in motivational interviewing and effective communication to enhance member engagement and outcomes.

Highest-signal resume keywords

Active RN Licensure In New JerseyClinical Practice ExperienceCare Management ExperienceMotivational InterviewingCertified Case Manager

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCare CoordinationDischarge PlanningProblem-SolvingAnalytical Skills

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsIndependent Thinking

Tools & Technologies

MS WordMS ExcelMS OutlookMS PowerPointProprietary Applications

Certifications & Qualifications

Certified Case ManagerActive RN Licensure

Industry Keywords

Care ManagementHome Health Care CoordinationHolistic AssessmentsInterdisciplinary Team CollaborationMember Engagement

About the role

Key responsibilities & impact

Develop proactive plans of care addressing identified issues and enhancing short- and long-term outcomes
Assess members' needs and benefits using clinical tools and information/data review
Apply clinical judgment to reduce risk factors and barriers and address complex health and social indicators
Conduct holistic assessments using claims and information from various sources
Assess needs for referrals to clinical resources and interdisciplinary team members
Collaborate with supervisors, healthcare stakeholders, members, providers, and community organizations
Present cases at interdisciplinary case conferences
Coordinate case management activities and evaluate members' medical needs
Use motivational interviewing to maximize member engagement and understand health needs
Travel 25-50% within Monmouth/Ocean Counties to meet members face to face

Requirements

What you’ll need

Minimum 3+ years of clinical practice experience
Active and unrestricted RN licensure in New Jersey required
Willing and able to travel 25-50% of the time using own vehicle
Reliable transportation required
Must reside close to or within Monmouth/Ocean Counties, New Jersey
Certified Case Manager preferred
Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred
Dedicated workspace free of interruptions
Separate dependent care arrangements during work hours
Associate's Degree required
Bachelor's degree preferred
Confidence working at home/independent thinker
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Effective computer skills, including navigating multiple systems and keyboarding
Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications
Bilingual preferred

Benefits

Comp & perks

Mileage is reimbursed per company expense reimbursement policy
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources based on eligibility
CVS Health bonus, commission or short-term incentive program eligibility