Registered Nurse Case Manager - LTSS - Field in Union County NJ

CVS Health•Union, NJ

3d•$66,575 - $142,576•Hybrid

About The Position

We are seeking a dedicated Remote/Field based Case Manager (RN) to join our team, serving members in Union County, NJ. This role involves 50–75% field travel and follows a Monday–Friday, 8:00 AM–5:00 PM EST schedule. The Case Manager will develop, implement, and support health service strategies, policies, and programs that ensure high-quality, cost-effective care for our members. These strategies encompass utilization management, quality improvement, network coordination, and clinical policy development. This position requires strong clinical judgment, critical thinking, and the ability to coordinate physical, behavioral, and psychosocial services.

Requirements

Must reside in Union County
3+ years clinical practice experience (e.g., hospital setting, alternative care setting such as home health or ambulatory care)
Active and Unrestricted RN license in NJ
Must possess reliable transportation
Willing and able to travel up to 75% of the time
Successful completion of the NJ Choice certification is a contingency of employment (exam score of 80% or higher, successful completion of State training modules, and field mentoring component required).

Nice To Haves

LTSS experience
Case management and/or discharge planning experience
Managed Care experience
Medicaid and Medicare experience
Experience using computer, keyboard, mouse, multi-system navigation; and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams)

Responsibilities

Develop, implement, and support health service strategies, policies, and programs.
Ensure high-quality, cost-effective care for members.
Manage utilization, quality improvement, network coordination, and clinical policy development.
Coordinate physical, behavioral, and psychosocial services.