Case Manager Registered Nurse- Field in Somerset

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.

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).

• 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.

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

• 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

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

• Associate degree equivalent or higher

40

Full time

The typical pay range for this role is: $66,575.00 - $

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.