Case Manager Registered Nurse - Field in Mercer and Counties, NJ

About This Role

The Case Manager Registered Nurse will develop, implement, and support health service strategies that promote high-quality care for members in Mercer and surrounding areas. This role is ideal for experienced nurses with strong clinical judgment and critical-thinking abilities.

• Pay: $66,575 - $142,576/year
• Location:
  
  New Jersey, NJ
• Schedule:
  
  Mon-Fri 08:00-05:00 PM EST
• Travel:
  Up to 75% of the time
• Residency:
  Must reside in Mercer County, NJ

• Conduct face-to-face home visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D-SNP/FIDE).
• Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals.
• Successfully complete and maintain NJ Choice Certification.
• Work with diverse populations, including pediatric and medically complex members.
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
• Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services.
• Develop individualized care plans and authorize services within MLTSS/FIDE program benefits.
• Document all assessments, interactions, and care planning activities accurately and in a timely manner.
• Utilize strong critical-thinking and problem-solving skills in daily work.
• Mentor new staff once appropriate proficiency has been achieved.

Education:

• Minimum of an associate degree in Nursing

Experience:

• Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care

Licenses &

Certifications:

• Active, unrestricted RN license in the state of New Jersey
• Successful completion of NJ Choice Certification required

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They prioritize safety and quality in everything they do, fostering a workplace where every colleague feels valued and that they belong.