Case Manager, Registered Nurse – Field

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Create proactive care plans that address identified issues and improve both short- and long-term outcomes.

• Assess, plan, implement, and coordinate activities related to case management.

• Evaluate the medical needs of members and promote overall wellness.

• Utilize clinical tools and data analysis to assess member needs and available benefits.

• Employ clinical judgment to mitigate risk factors and barriers while addressing intricate health and social indicators.

• Perform holistic assessments using claims data and other information sources, including co-morbid conditions and multiple diagnoses.

• Determine the necessity for referrals to clinical resources and interdisciplinary team members.

• Collaborate with supervisors, healthcare stakeholders, members, providers, and community organizations.

• Present cases in interdisciplinary case conferences.

• Adhere to regulatory and company policies and procedures related to case management.

• Utilize motivational interviewing techniques to engage members and assess their health status and needs.

• Meet members in person within the designated Middlesex County area.

⛳️ Requirements

• A minimum of 3+ years of clinical practice experience is required.

• Active and unrestricted RN licensure in New Jersey.

• Willingness and capability to travel 25–50% using personal vehicle for face-to-face member meetings.

• Reliable transportation is essential.

• Must live near or within Middlesex County, New Jersey.

• A dedicated workspace free from interruptions is required.

• Arrangements for dependent care during work hours must be separate.

• Certification as a Case Manager is preferred.

• Preferred experience of 2+ years in Care Management, Discharge Planning, and/or Home Health Care Coordination.

• Strong analytical and problem-solving abilities are essential.

• Effective communication, organizational, and interpersonal skills are necessary.

• Ability to work independently is required.

• Competent computer skills, including the ability to navigate multiple systems and proficient keyboarding.

• Proficiency in MS Word, Excel, Outlook, PowerPoint, and proprietary applications is expected.

• An Associate's Degree is mandatory.

• A direct/hardwired internet connection must be available within 7 feet of the computer.

• Minimum internet speed of 25 Mbps download and 3 Mbps upload is required.

• A quiet, secure, and private designated home workspace that complies with CVS Health and HIPAA guidelines is necessary.

• Must work within the same state and city where you currently reside.

• Provision of personal workspace furniture is required.

• Ability to utilize multiple monitors and applications simultaneously is necessary.

• Proficiency in using email, calendar invites, Teams messaging, and virtual meetings is required.

• Experience with Microsoft Office 365 or similar Google Workspace applications is preferred.

• Ability to access secure systems such as VPN and EHR portals is required.

• Must adhere to computer and password security practices and recognize suspicious emails or links.

• Ability to troubleshoot common technical issues independently is necessary.

• Bilingual candidates are preferred.

• NJC Certification is preferred but not mandatory.

🏝️ Benefits

• CVS Health offers a bonus, commission, or short-term incentive program in addition to base pay.

• Comprehensive medical coverage is provided.

• Dental coverage is available.

• Vision coverage is included.

• Paid time off is offered.

• Retirement savings options are available.

• Wellness programs are provided.

• Additional resources supporting physical, emotional, and financial well-being are available.

• Mileage reimbursement is offered under the company expense reimbursement policy.

• Company-provided equipment includes keyboard, monitor, computer, headset, etc.

• Security escort services are available if needed.