Case Manager Registered Nurse - Field In Salem County NJ

Position Summary

Join our team and make a meaningful impact in the lives of members throughout S alem, Gloucester, Cumberland, and the surrounding counties. This is a work-from-home role with 50-75% local travel , Monday-Friday, 8:00 a.m.-5:00 p.m. EST.

What You Will Do

As a Case Manager, you will help shape and deliver high-quality care by developing, implementing, and supporting strategies that improve health outcomes for our members. You'll apply clinical expertise and strong critical‑thinking skills to ensure members receive the physical, behavioral, and psychosocial services they need.

Your work will include care planning, collaborating directly with providers and interdisciplinary teams, coordinating services, and helping members navigate the resources that allow them to thrive. Strong assessment, writing, and communication skills are essential to success in this role.

Key Responsibilities

• Conduct in-home, face‑to‑face visits using comprehensive assessment tools for members enrolled in:
  • Managed Long‑Term Services and Supports (MLTSS)
  • Dual Special Needs Programs (D‑SNP/FIDE)
• Complete assessments for non‑MLTSS members to evaluate medical needs and support requests such as:
  • Adult or pediatric medical day care
  • Personal care assistant services
  • Nursing facility custodial care
  • Personal Preference Program
  • MLTSS program enrollment
• Coordinate care with members, their authorized representatives, PCPs, and all care team participants.
• Schedule and participate in interdisciplinary team meetings.
• Advocate for members to ensure safe and appropriate transitions of care.
• Develop individualized care plans and authorize services in a cost‑effective manner.
• Document accurate and timely information in the electronic health record.
• Use sound clinical judgment and problem‑solving skills in daily decision‑making.
• Mentor new hires once proficiency is achieved.
• Successfully complete company‑sponsored NJ Choice Certification (required score of 80% or higher for continued employment).
• Member assignments may include pediatric populations and medically complex cases.

Required Qualifications

• 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
• Residency in Salem County preferred
• Willing and able to travel 50-75% within assigned counties
• Successful completion of the NJ Choice Certification , including:
  • Minimum exam score of 80%
  • Completion of state training modules
  • Field mentoring component

Preferred Qualifications

• Case management and/or discharge planning experience
• Managed care experience
• Crisis intervention skills

Education

• Associate's degree in Nursing (minimum requirement)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:
$66,575.00 - $142,576.00
This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Benefits

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.