Case Manager Registered Nurse- Field in Somerset County New Jersey

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.Position Summary: Case Manager (MLTSS/D-SNP Programs)

The Case Manager is responsible for developing and implementing healthcare strategies to ensure quality care for members, particularly those in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE).

Key duties include:

• Conducting in-home assessments using comprehensive tools.
• Creating and managing individualized care plans.
• Coordinating services such as adult/pediatric daycare, personal care, and nursing facility placements.
• Collaborating with members, families, providers, and interdisciplinary teams.
• Ensuring cost-effective service delivery and accurate documentation.
• Mentoring new hires once proficient.
• Traveling 50-75% within assigned counties.

Skills Required: Advanced clinical judgment, critical thinking, strong communication, and assessment skills. NJ Choice Certification is required.Required Qualifications

• Active and Unrestricted RN license in NJ required.
• Must reside in Somerset County NJ
• 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
• Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.
• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

• Case management and/or discharge planning experience preferred.
• Managed Care experience preferred
• Crisis intervention skills preferred

Education

• Associate degree equivalent or higher

Anticipated Weekly Hours
40Time Type
Full timePay 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 peopleWe 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: 08/20/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.