Case Manager Registered Nurse - Field in Hudson County, NJ - New Hire Bonus
DiscoveredCVS Health
Brooklyn, NYexternalHealthcarePosted 12 months ago (Aug 21, 2025)
About the role
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
New Hire bonus offered
•
External Hire with active New Jersey Choice Certification = $10,000
•
Position Summary
@@HD@@
We are seeking a dedicated Case Manager (RN)@@/HD@@
to join our team, serving members in
Hudson County and surrounding areas
. This role involves
50-75% field travel
and follows a
Monday-Friday, 8:00 AM-5:00 PM EST
schedule.
The Case Manager will develop, implement, and support health service strategies, policies, and programs that ensure high-quality, cost-effective care for our members. These strategies encompass utilization management, quality improvement, network coordination, and clinical policy development. This position requires strong clinical judgment, critical thinking, and the ability to coordinate physical, behavioral, and psychosocial services.
Key Responsibilities
• Conduct in-home, face-to-face assessments using comprehensive tools for members enrolled in
Managed Long-Term Services and Supports (MLTSS)
and/or
Dual Special Needs Programs (D-SNP/FIDE)
.
• Evaluate non-MLTSS members for service eligibility and support needs, including adult/pediatric medical daycare, personal care assistants, nursing facility services, and MLTSS enrollment.
• Collaborate with members, their representatives, primary care providers, and interdisciplinary care teams to develop and implement individualized care plans.
• Attend and coordinate interdisciplinary team meetings, advocating for members to ensure safe and appropriate service delivery and discharge planning.
• Authorize services within program benefits in a cost-effective manner.
• Accurately and promptly document all activities in the electronic health record.
• Mentor new hires upon achieving proficiency in the role.
Required Qualifications
• Active, unrestricted
Registered Nurse (RN) license in New Jersey
.
• Minimum of
3 years of clinical experience
in settings such as hospitals, home health, or ambulatory care.
• Willingness and ability to travel
50-75%
within
Hudson County and nearby areas
.
•
Reliable transportation
(mileage reimbursed per company policy).
• Successful completion of the
NJ Choice Certification
, including: • A minimum score of 80% on the exam.
• Completion of state training modules and field mentoring, as required by the NJ Division of Aging Services.
Preferred Qualifications
• Residency in
Hudson County
.
• Experience in
case management
or
discharge planning
.
• Background in
managed care
,
Medicaid/Medicare
, or
LTSS
.
• Proficiency with
Microsoft Office Suite
(Outlook, Word, Excel, SharePoint, Teams) and multi-system navigation.
Education
•
Associate Degree or Diploma in Nursing
(minimum requirement).
Full time Pay Range
The typical pay range for this role is:$72,627.00 - $155,538.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: •
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan
.
•
No-cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
•
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Not published in this posting
The company didn't include about the role in the source posting. The hiring team may have more details on their own site.
Sign in to open the original posting