Case Manager, RN - Field

CVS Health

Case Manager RN position assisting members with complex health and social needs in Passaic and Sussex Counties. Utilizes clinical judgment and case management processes to enhance member outcomes.

Posted 7/21/2026full-timePassaic • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical assessment and case management, utilizing a holistic approach to address complex health needs and barriers. Proficient in motivational interviewing and effective communication to engage members and collaborate with interdisciplinary teams.

Highest-signal resume keywords

Active RN License in NJClinical Practice Experience (3+ Years)Certified Case Manager (Preferred)Care Management Experience (2+ Years Preferred)Motivational Interviewing Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCase Management ProcessesDischarge PlanningHome Health Care CoordinationAnalytical SkillsProblem-Solving SkillsOrganizational SkillsInterpersonal SkillsIndependent WorkNavigating Multiple Systems

Soft Skills

Effective CommunicationCollaborationConfidence Working Independently

Tools & Technologies

MS WordMS ExcelMS OutlookMS PowerPointProprietary Applications

Certifications & Qualifications

Active RN LicenseCertified Case Manager (Preferred)

Industry Keywords

Clinical ToolsHealthcareRisk FactorsInterdisciplinary TeamRegulatory ComplianceMember EngagementHealth Status AssessmentTravel Requirements

About the role

Key responsibilities & impact

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 which impact care planning.
Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
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 in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

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.
Preferred: Certified Case Manager.
Preferred: Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience.
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.

Benefits

Comp & perks

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