Case Manager, Registered Nurse – Field

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

📋 Description

• Create proactive care plans aimed at addressing identified challenges and enhancing both short- and long-term outcomes.

• Assess, strategize, implement, and manage case management activities.

• Evaluate the medical needs and overall wellness of members.

• Review clinical tools, data, and claims to determine member needs and benefits.

• Utilize clinical judgment to mitigate risk factors and address complex health and social indicators.

• Conduct comprehensive assessments that include comorbidities, multiple diagnoses, and functionality.

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

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

• Present cases during interdisciplinary case conferences.

• Employ case management processes in alignment with regulatory and company policies.

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

• Meet with members in person within the designated Bergen/Hudson County area.

⛳️ Requirements

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

• Active and unrestricted RN licensure in New Jersey is mandatory.

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

• Reliable transportation is necessary.

• Must live near or within Bergen/Hudson County, New Jersey.

• A dedicated workspace free from interruptions is essential.

• Separate dependent care arrangements during work hours are required.

• Certification as a Case Manager is preferred.

• A minimum of 2+ years of experience in care management, discharge planning, and/or home health care coordination is preferred.

• Ability to work independently and think critically from home.

• Strong analytical and problem-solving capabilities are essential.

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

• Proficient computer skills, including the ability to navigate multiple systems and keyboarding, are necessary.

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

• Bilingual ability is preferred.

• An Associate’s degree is required.

• A Bachelor’s degree is preferred.

🏝️ Benefits

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• Mileage reimbursement according to the company expense reimbursement policy.

• Security escort available if required.