Case Manager Registered Nurse - Field In Salem County NJ

CVS Health•Vineland, NJ

7d•Hybrid

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 Join our team and make a meaningful impact in the lives of members throughout Salem, 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. We’re looking for a compassionate, mission‑driven nurse who thrives in the community—someone who is comfortable meeting members where they are, in any neighborhood, setting, or circumstance, to support their health and independence.

Requirements

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

Nice To Haves

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

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 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.