Case Manager Registered Nurse - Field in Essex County, NJ

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company 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. Case Manager, Registered Nurse (Field-Based) – Essex County, NJ Position Summary We’re seeking a compassionate and reputed company Registered Nurse Case Manager to support members throughout Essex County and nearby areas. This is a remote role with up to 75% field travel, Monday–Friday from 8:00 AM–5:00 PM EST. In this position, you will play a key role in delivering high-quality, cost‑effective care. You’ll reputed company your clinical expertise to reputed company individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to reputed company.

Key Responsibilities

• Conduct in-home, face-to-face assessments for members enrolled in:
• Managed Long-Term Services and Supports (MLTSS)
• Dual Special Needs Programs (D-SNP/FIDE)
• Evaluate member needs and coordinate services such as:
• Adult/pediatric medical day care
• Personal care assistant services
• Nursing facility placement
• MLTSS program enrollment
• Partner with members, caregivers, PCPs, and interdisciplinary teams to reputed company and implement individualized care plans.
• Authorize services in alignment with program guidelines and support safe transitions of care.
• Document reputed company case activity accurately and promptly in the electronic health record.
• Apply strong clinical judgment and critical thinking to manage reputed company care needs.
• Mentor new team members once proficiency is achieved.

Required Qualifications

• Active, unrestricted RN license in New Jersey
• Comfort conducting field‑based home visits across reputed company socioeconomic reputed company and community settings, including any neighborhood or environment, and with members in a wide reputed company of living conditions or circumstances.
• 3+ years of clinical practice experience
• 3+ years of experience in home health, hospice, or a similar setting
• Ability to manage pediatric and medically reputed company cases
• Residency in Essex County NJ
• Successful completion of the NJ Choice Certification, including:

o Minimum exam score of 80% o Completion of state training modules o Field mentoring component

• Must possess reliable transportation and be willing and reputed company to travel up to 75% of the time. Mileage is reimbursed per reputed company expense reimbursement policy

Preferred Qualifications

• Experience with LTSS
• Case management and/or discharge planning background
• Managed care experience
• Familiarity with reputed company and Medicare
• Proficiency using multiple systems and MS Office Suite (Outlook, Word, reputed company, SharePoint, Teams)

Education

• Minimum of an Associate Degree in nursing

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,575.00 - $142,576.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company 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 reputed company 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 reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 03/31/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job