Case Manager RN – Field

CVS Health

Case Manager RN at CVS Health serving dual eligible populations with complex health care needs. Responsible for assessing and coordinating patient care in New Jersey.

Posted 6/17/2026full-timeNew Jersey • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

About the role

Key responsibilities & impact

Assessing, planning, implementing, and coordinating all case management activities with members
Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits
Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators
Conducts assessments that consider information from various sources, such as claims
Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members
Collaborates with supervisor and other key stakeholders in the member’s healthcare
Utilizes case management processes in compliance with regulatory and company policies and procedures
Utilizes motivational interviewing skills to ensure maximum member engagement

Requirements

What you’ll need

Minimum 3+ years of clinical practice experience
Must have active and unrestricted RN license in the state of NJ
Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area
Reliable transportation required
Certified Case Manager is preferred
Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Effective computer skills including navigating multiple systems and keyboarding
Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
Bilingual Preferred

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

case managementclinical judgmentmotivational interviewinganalytical skillsproblem-solving skillsCare ManagementDischarge PlanningHome Health Care Coordination

Soft Skills

effective communicationorganizational skillsinterpersonal skillsindependent thinkingmember engagement

Certifications

RN licenseCertified Case Manager