Registered Nurse Case Manager – Field

CVS Health

. Support members throughout Essex County and nearby areas .

Posted 9/28/2026full-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 conducting in-home assessments and developing individualized care plans for members with complex medical needs. Proficient in case management, documentation in electronic health records, and collaboration with interdisciplinary teams.

Highest-signal resume keywords

Active RN License In New Jersey3+ Years Clinical Practice ExperienceExperience In Home Health Or HospiceCase Management BackgroundFamiliarity With Medicaid And Medicare

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical JudgmentCritical ThinkingCare CoordinationPediatric Care ManagementManaged Long-Term Services And Supports (MLTSS)Discharge PlanningHome Visit AssessmentsDocumentation In Electronic Health Record

Soft Skills

MentoringInterpersonal CommunicationCollaboration

Tools & Technologies

MS Office SuiteElectronic Health Record Systems

Certifications & Qualifications

NJ Choice Certification

Industry Keywords

Managed CareLTSSDual Special Needs ProgramsHome HealthHospice

About the role

Key responsibilities & impact

Support members throughout Essex County and nearby areas
Conduct in-home, face-to-face assessments for members enrolled in Managed Long-Term Services and Supports and Dual Special Needs Programs
Evaluate member needs and coordinate adult/pediatric medical day care, personal care assistant services, nursing facility placement, and 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
Support safe transitions of care
Document all case activity accurately and promptly in the electronic health record
Apply clinical judgment and critical thinking to manage complex care needs
Mentor new team members once proficiency is achieved

Requirements

What you’ll need

Active, unrestricted RN license in New Jersey
Comfort conducting field-based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances
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 a minimum exam score of 80%, completion of state training modules, and a field mentoring component
Reliable transportation
Willingness and ability to travel up to 75% of the time
Minimum of an Associate Degree in nursing
Experience with LTSS preferred
Case management and/or discharge planning background preferred
Managed care experience preferred
Familiarity with Medicaid and Medicare preferred
Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams) preferred

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Mileage reimbursement according to company expense reimbursement policy