Case Manager Registered Nurse - Field (Somerset County, New Jersey)

$66,575 - $142,576 / year

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. Location: This role will be work at home with 25-50% travel within Somerset County, NJ. (50-mile radius from applicants’ home) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST. Position Summary The ICM Case Manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. Our Mission Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Help us elevate our patient care to a whole new level! Key Responsibilities Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Remote Work Expectations This is a remote role with 25-50% travel required, candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required Qualifications Minimum 3+ years of clinical practice experience. Must have active and unrestricted RN licensure in the state of NJ. Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy. The protection and security of our colleagues is paramount. CVS Health encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available. Must reside close to or within Somerset County, New Jersey. Preferred Qualifications Certified Case Manager is preferred. Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred. Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually. Excellent analytical and problem-solving skills. Effective communications, organizational, and interpersonal skills. Ability to work independently. Effective computer skills including navigating multiple systems and keyboarding. Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications. Bilingual Preferred. Educational Associate's Degree required. Bachelor's degree preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This 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 people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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 for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/25/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

RN

Full-time

1 month ago

Case Manager RN - Field (Camden County, NJ)

CVS Health Camden, NJ

$66,575.02 - $142,576 / year

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. This is a work from home flexible position with 25-50% travel in Camden County New Jersey. Travel will be up to a 50 mile radius from your home. Standard working hours Monday – Friday 8-5 pm Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. • Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences • Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. The protection and security of our colleagues is paramount. CVS Health encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available Required Qualifications Minimum 3+ years of clinical practice experience Must have active and unrestricted RN license in the state of NJ Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy Must reside in Camden or surrounding County, NJ Preferred Qualifications: Certified Case Manager is preferred. Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently Effective computer skills including navigating multiple systems and keyboarding Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications Bilingual Preferred Education: Associate’s Degree in Nursing Bachelor's Degree Preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This 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 people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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 for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/25/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Registered Nurse - RN - Cardiopulmonary Nurse Educator - PAH

CVS Health Totowa, NJ

$66,575 - $142,576 / year

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. 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. As a Cardiopulmonary Educator with CVS Health, you will have the opportunity to use your clinical skills to be an educator to your patients and their caregivers, helping them understand their complex Pulmonary Arterial Hypertension (PAH) therapies by providing infusion training and clinical support. This is a direct-hire, full-time position. In this role you will: Consult and collaborate with physicians, clinicians, pharmacy operations and the sales team to coordinate the patient’s plan of care. Work within a highly specialized area of nursing and enjoy the autonomy that comes from working within a home care service. Assist patients who are initiating or transitioning to infused or inhaled therapies for PAH. Develop deep relationships with patients and caregivers in a one-on-one setting. Have excellent written and verbal customer service skills and advanced computer skills to interact with key partners. Participate in the on-call rotation for weekend coverage approximately once/month. Coverage Area/Travel: When not visiting patients in-person, you will work from home (approximately 20-30% of the time). You will primarily visit patients within the entire state of NJ. Need to have the flexibility to visit patients throughout the Central Region approximately 10-20% of the time. Travel will primarily be via car and occasionally via airplane to see patients, support our sales team, and for training as needed. Candidates must reside within one hour of an International Airport within the surrounding territory. Overnight travel is approximately 20% of the time. You will have a uniquely rewarding setting to use their exceptional nursing skills. As a national leader in the home infusion field, we seek those special RNs who not only possess strong clinical expertise with creative ideas but who also have the kind of deep compassion and sensitivity it takes to treat people in their homes. Required Qualifications : Must live within one hour of an International Airport within the surrounding territory. Registered Nurse with a current unrestricted compact license in the state of NJ with ability to obtain additional licensure for multi-state service area Two years of experience in a critical care or acute care hospital setting providing high-tech infusions, or two years of high-tech home infusion experience. Participate in the on-call rotation as determined by staffing and business needs Ability to build positive business relationships with all levels of medical/clinical personnel. Ability to travel as noted in the position summary and as business needs require. Have and maintain current CPR certification. Possess a valid and current driver’s license and auto insurance Preferred Qualifications : Experience in caring for patients with Pulmonary Arterial Hypertension – PAH is great, but not required Home healthcare and pediatric experience is preferred, but not required CRNI certification is preferred, but not required Education : RN Diploma, Associates or B.S. degree in nursing Anticipated Weekly Hours 40 Time Type Full time 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 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/benefits We anticipate the application window for this opening will close on: 05/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This 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 people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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 for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/15/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

RN

Full-time

1 month ago

Case Manager Registered Nurse - Field in Burlington County NJ

CVS Health Burlington, NJ

$66,575 - $142,576 / year

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. Case Manager, Registered Nurse (Field-Based) – Burlington County, NJ Position Summary We’re seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Burlington and Camden Counties, and surrounding counties . 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 leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive. 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 develop and implement individualized care plans . Authorize services in alignment with program guidelines and support safe transitions of care . Document all case activity accurately and promptly in the electronic health record. Apply strong clinical judgment and critical thinking to manage complex 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 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 Ability to manage pediatric and medically complex cases Residency in Burlington 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 able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy Preferred Qualifications Experience with LTSS Case management and/or discharge planning background Managed care experience Familiarity with Medicaid and Medicare Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams) Education Minimum of an Associate Degree in nursing Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This 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 people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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 for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

RN

Full-time

1 month ago

Case Manager Registered Nurse - Field in Mercer County NJ

CVS Health NJ

$66,575 - $142,576 / year

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. Case Manager, Registered Nurse (Field-Based) – Mercer County, NJ Position Summary We’re seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Mercer County and surrounding counties . 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 leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive. 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 develop and implement individualized care plans . Authorize services in alignment with program guidelines and support safe transitions of care . Document all case activity accurately and promptly in the electronic health record. Apply strong clinical judgment and critical thinking to manage complex 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 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 Ability to manage pediatric and medically complex cases Residency in Mercer 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 able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy Preferred Qualifications Experience with LTSS Case management and/or discharge planning background Managed care experience Familiarity with Medicaid and Medicare Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams) Education Minimum of an Associate Degree in nursing Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This 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 people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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 for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 05/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Case Manager - Registered Nurse

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