Case Manager Registered Nurse- Field in Somerset County New Jersey

CVS Health•Manville, NJ

3d•$66,575 - $142,576•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Case Manager (MLTSS/D-SNP Programs) The Case Manager is responsible for developing and implementing healthcare strategies to ensure quality care for members, particularly those in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE).

Requirements

Active and Unrestricted RN license in NJ required.
Must reside in Somerset County NJ
3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Successful completion of the NJ Choice certification is a contingency of employment.
As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.
Must possess reliable transportation and be willing and able to travel up to 75% of the time.
Mileage is reimbursed per our company expense reimbursement policy

Nice To Haves

Case management and/or discharge planning experience preferred.
Managed Care experience preferred
Crisis intervention skills preferred

Responsibilities

Conducting in-home assessments using comprehensive tools.
Creating and managing individualized care plans.
Coordinating services such as adult/pediatric daycare, personal care, and nursing facility placements.
Collaborating with members, families, providers, and interdisciplinary teams.
Ensuring cost-effective service delivery and accurate documentation.
Mentoring new hires once proficient.
Traveling 50–75% within assigned counties.