Hybrid Case Manager, Registered Nurse - Field

at CVS Health

• Job title: Case Manager, Registered Nurse - Field
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $72,627 - $155,538 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Englewood, United States

About the role

• Care Manager Registered Nurse responsible for assessing and coordinating member care, ensuring effective plans and addressing social needs. Collaborates within an interdisciplinary team in New Jersey environment.

Responsibilities

• Assessing and evaluating members with potential care management needs through telephonic and face to face assessments
• Establishing a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers
• Monitoring and evaluating the effectiveness of the care plans and adjusting based on clinical judgement and member needs
• Coordinating and collaborating with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery
• Taking an interdisciplinary approach to advocate for member’s needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity)
• Accurate and timely documentation in the member’s electronic health record

Requirements

• Must reside in the State of New Jersey - Would be assigned a case load based on your location.
• 3+ years’ work experience in pediatric, Special Needs and/or Adult Population
• BSN RN with current unrestricted state licensure in the State of New Jersey
• Must possess reliable transportation and be willing and able to travel up to 75% of the time.
• Face to Face visits in the state of NJ in various settings including, but not limited to in homes, hospitals, provider settings, etc.
• Travel requirements are subject to change based upon business need.
• Case Management experience in an integrated model (preferred)
• Bilingual preferred.
• Working knowledge of medical terminology.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly.
• CCM (Certified Case Manager)
• Proficient in Multisystem Navigation: Comfortable using multiple monitors and systems simultaneously to streamline tasks and improve efficiency.
• Effective Multitasker: Skilled at talking and typing concurrently while managing various responsibilities with focus and accuracy.
• Basic Technical Troubleshooting: Able to set up and connect essential hardware (monitors, keyboards, etc.) and resolve common technical issues independently.
• Digital Collaboration & Documentation: Experienced in electronic documentation and virtual collaboration tools to support remote teamwork and communication.
• Highly Organized & Results-Oriented: Maintains a structured approach to work, ensuring tasks are completed on time and in alignment with performance metrics.
• Metric-Driven Performance: Demonstrates accountability by consistently meeting or exceeding established goals and expectations.

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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 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.