Case Manager Registered Nurse - Field Based
About the position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Join our team and make a meaningful impact in the lives of members throughout Salem, Gloucester, Cumberland, and the surrounding counties. This is a work‑from‑home role with 50–75% local travel, Monday–Friday, 8:00 a.m.–5:00 p.m. EST. We’re looking for a compassionate, mission‑driven nurse who thrives in the community—someone who is comfortable meeting members where they are, in any neighborhood, setting, or circumstance, to support their health and independence. What You Will Do As a Case Manager, you will help shape and deliver high‑quality care by developing, implementing, and supporting strategies that improve health outcomes for our members. You’ll apply clinical expertise and strong critical‑thinking skills to ensure members receive the physical, behavioral, and psychosocial services they need. Your work will include care planning, collaborating directly with providers and interdisciplinary teams, coordinating services, and helping members navigate the resources that allow them to thrive. Strong assessment, writing, and communication skills are essential to success in this role.
Responsibilities
• Conduct in‑home, face‑to‑face visits using comprehensive assessment tools for members enrolled in: Managed Long‑Term Services and Supports (MLTSS) Dual Special Needs Programs (D‑SNP/FIDE)
• Complete assessments for non‑MLTSS members to evaluate medical needs and support requests such as: Adult or pediatric medical day care Personal care assistant services Nursing facility custodial care Personal Preference Program MLTSS program enrollment
• Coordinate care with members, their authorized representatives, PCPs, and all care team participants.
• Schedule and participate in interdisciplinary team meetings.
• Advocate for members to ensure safe and appropriate transitions of care.
• Develop individualized care plans and authorize services in a cost‑effective manner.
• Document accurate and timely information in the electronic health record.
• Use sound clinical judgment and problem-solving skills in daily decision-making.
• Mentor new hires once proficiency is achieved.
• Successfully complete company‑sponsored NJ Choice Certification (required score of 80% or higher for continued employment).
• Member assignments may include pediatric populations and medically complex cases.
Requirements
• Active, unrestricted RN license in New Jersey
• Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.
• 3+ years of clinical practice experience
• 3+ years of experience in home health, hospice, or a similar setting
• Residency in Salem County preferred (Gloucester or Cumberland County may be considered)
• Willing and able to travel 50–75% within assigned counties
• Successful completion of the NJ Choice Certification, including: Minimum exam score of 80% Completion of state training modules Field mentoring component
Nice-to-haves
• Case management and/or discharge planning experience
• Managed care experience
• Crisis intervention skills
Benefits
• 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.
Apply tot his job
Apply To this Job
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Join our team and make a meaningful impact in the lives of members throughout Salem, Gloucester, Cumberland, and the surrounding counties. This is a work‑from‑home role with 50–75% local travel, Monday–Friday, 8:00 a.m.–5:00 p.m. EST. We’re looking for a compassionate, mission‑driven nurse who thrives in the community—someone who is comfortable meeting members where they are, in any neighborhood, setting, or circumstance, to support their health and independence. What You Will Do As a Case Manager, you will help shape and deliver high‑quality care by developing, implementing, and supporting strategies that improve health outcomes for our members. You’ll apply clinical expertise and strong critical‑thinking skills to ensure members receive the physical, behavioral, and psychosocial services they need. Your work will include care planning, collaborating directly with providers and interdisciplinary teams, coordinating services, and helping members navigate the resources that allow them to thrive. Strong assessment, writing, and communication skills are essential to success in this role.
Responsibilities
• Conduct in‑home, face‑to‑face visits using comprehensive assessment tools for members enrolled in: Managed Long‑Term Services and Supports (MLTSS) Dual Special Needs Programs (D‑SNP/FIDE)
• Complete assessments for non‑MLTSS members to evaluate medical needs and support requests such as: Adult or pediatric medical day care Personal care assistant services Nursing facility custodial care Personal Preference Program MLTSS program enrollment
• Coordinate care with members, their authorized representatives, PCPs, and all care team participants.
• Schedule and participate in interdisciplinary team meetings.
• Advocate for members to ensure safe and appropriate transitions of care.
• Develop individualized care plans and authorize services in a cost‑effective manner.
• Document accurate and timely information in the electronic health record.
• Use sound clinical judgment and problem-solving skills in daily decision-making.
• Mentor new hires once proficiency is achieved.
• Successfully complete company‑sponsored NJ Choice Certification (required score of 80% or higher for continued employment).
• Member assignments may include pediatric populations and medically complex cases.
Requirements
• Active, unrestricted RN license in New Jersey
• Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.
• 3+ years of clinical practice experience
• 3+ years of experience in home health, hospice, or a similar setting
• Residency in Salem County preferred (Gloucester or Cumberland County may be considered)
• Willing and able to travel 50–75% within assigned counties
• Successful completion of the NJ Choice Certification, including: Minimum exam score of 80% Completion of state training modules Field mentoring component
Nice-to-haves
• Case management and/or discharge planning experience
• Managed care experience
• Crisis intervention skills
Benefits
• 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.
Apply tot his job
Apply To this Job