Case Manager Registered Nurse - Field in Middlesex County NJ

CVS Health•East Brunswick, NJ

2d•$66,575 - $142,576•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. Case Manager, Registered Nurse (Field-Based) – Middlesex County, NJ Position Summary We’re seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Middlesex County and surrounding counties. This is a remote role with up to 75% field travel, Monday–Friday from 8:00 AM–5:00 PM EST. In this position, you will play a key role in delivering high-quality, cost‑effective care. You’ll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.

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
Ability to manage pediatric and medically complex cases
Residency in Middlesex County NJ
Successful completion of the NJ Choice Certification, including: o Minimum exam score of 80% o Completion of state training modules o 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

Experience with LTSS Case management and/or discharge planning background
Managed care experience
Familiarity with Medicaid and Medicare
Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)

Responsibilities

Conduct in-home, face-to-face assessments for members enrolled in: Managed Long-Term Services and Supports (MLTSS) Dual Special Needs Programs (D-SNP/FIDE)
Evaluate member needs and coordinate services such as: Adult/pediatric day care Personal care assistant services Nursing facility placement 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 and support safe transitions of care.
Document all case activity accurately and promptly in the electronic health record.
Apply strong clinical judgment and critical thinking to manage complex care needs.
Mentor new team members once proficiency is achieved.