Registered Nurse Case Manager – Field

CVS Health

Registered Nurse Case Manager conducting home visits and developing care plans for patients in New Jersey. Collaborating with healthcare providers and managing diverse patient populations with innovative health service strategies.

Posted 6/16/2026full-timeEssex • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

About the role

Key responsibilities & impact

Conduct face‑to‑face home visits using comprehensive assessment tools for members enrolled in Managed Long‑Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D‑SNP/FIDE)
Perform in‑person assessments for non‑MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment)
Successfully complete and maintain NJ Choice Certification (required for continued employment)
Work with diverse populations, including pediatric and medically complex members
Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams
Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services
Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost‑effective manner
Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record
Utilize strong critical‑thinking and problem‑solving skills in daily work
Mentor new staff once appropriate proficiency has been achieved

Requirements

What you’ll need

Active, unrestricted RN license in the state of New Jersey
Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care
Residency in Essex or adjacent counties
Ability and willingness to travel up to 75% within Ocean and surrounding counties
Successful completion of NJ Choice Certification, including: Exam score of 80% or higher, Completion of state training modules, Field mentoring, as required by the NJ Division of Aging Services

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical experiencecomprehensive assessment toolsindividualized care planselectronic health record documentationservice referralscritical thinkingproblem solving

Soft Skills

advocacycollaborationmentoringcommunication

Certifications

RN licenseNJ Choice Certification