Case Manager Registered Nurse - Field in Hudson & surrounding Counties, New Jersey
CVS Health · Trenton, NJ · 1 mo ago
On-siteHealthcare$67k/yrFull-time
We need to output HTML fragment with headings for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, etc. Must not create sections with filler like "commensurate with experience". Must include Pay and Schedule only if posting actually states them. The posting includes schedule: "The working schedule is Monday - Friday 8am-5pm EST." Also "Anticipated Weekly Hours 40". So schedule section can be included. Pay: "Pay Range The Typical Pay Range For This Role Is $66,575.00 - $142,576.00". So include Pay.
Benefits: there is a paragraph about benefits: "Great Benefits For Great People ... This full‑time position is eligible for a comprehensive benefits package ... medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources". So include Benefits.
About the role: The initial paragraph about CVS Health mission and "Join us...". Also "Position Summary". Could be About the role.
Responsibilities: The detailed duties: "Develop, implement, support, and promote health service strategies..." etc. Also the "Fundamental Components/Job Description" paragraphs. So responsibilities.
Requirements: Might be "Required Qualifications". Also "Work From Home Requirements", "Technical And Logistical Requirements". Could be under Requirements or Qualifications. The instruction: Use headings for sections like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide mapping. Likely "Required Qualifications" goes under Qualifications. "Preferred Qualifications" also under Qualifications. "Education" maybe under Qualifications. "Work From Home Requirements" maybe under Requirements? Or could be under Requirements. "Technical And Logistical Requirements" maybe under Skills? Or Requirements. We need to avoid duplication and keep sections meaningful.
We can have sections: About the role (h3), Responsibilities (h3), Qualifications (h3) (cover required, preferred, education), Skills (h3) (maybe technical/logistical requirements and work-from-home requirements?), Benefits (h3), Pay (h3), Schedule (h3). Ensure we don't create empty sections.
We must preserve all substantive info. Let's extract content.
About the role:
- "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."
- Also "Position Summary This is a Field/Remote Case Manager opportunity with up to 75% field travel in Hudson County and surrounding counties. The working schedule is Monday - Friday 8am-5pm EST." Actually schedule part maybe goes to Schedule section, but we can keep in About? Better to separate schedule.
But we can include mission statement in About the role.
Responsibilities:
- "Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies."
- "The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services."
- "The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner."
- "Strong assessment, writing and communication skills are required."
- Then the "Fundamental Components/Job Description" paragraphs:
- Conduct face to face visits in members home utilizing comprehensive assessment tools for members enrolled in MLTSS and/or D-SNP/FIDE and non-MLTSS members to evaluate medical needs to facilitate overall wellness and help them obtain services they need to thrive by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment.
- Member assignments may include pediatric population and medically complex cases.
- The case manager schedules and attends interdisciplinary meetings and advocates on the members’ behalf to ensure proper and safe discharge with appropriate services in place.
- The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner within the MLTSS/ FIDE benefit.
- The care manager is responsible for documenting accurately and timely in the member’s electronic health record.
- The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants.
- This position requires the case manager to use critical thinking skills and the ability to solve problems.
- The Case Manager will also be expected to mentor new hires once a level of proficiency has been attained in their role.
We can list these as
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, etc. Must not create sections with filler like "commensurate with experience". Must include Pay and Schedule only if posting actually states them. The posting includes schedule: "The working schedule is Monday - Friday 8am-5pm EST." Also "Anticipated Weekly Hours 40". So schedule section can be included. Pay: "Pay Range The Typical Pay Range For This Role Is $66,575.00 - $142,576.00". So include Pay.
Benefits: there is a paragraph about benefits: "Great Benefits For Great People ... This full‑time position is eligible for a comprehensive benefits package ... medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources". So include Benefits.
About the role: The initial paragraph about CVS Health mission and "Join us...". Also "Position Summary". Could be About the role.
Responsibilities: The detailed duties: "Develop, implement, support, and promote health service strategies..." etc. Also the "Fundamental Components/Job Description" paragraphs. So responsibilities.
Requirements: Might be "Required Qualifications". Also "Work From Home Requirements", "Technical And Logistical Requirements". Could be under Requirements or Qualifications. The instruction: Use headings for sections like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide mapping. Likely "Required Qualifications" goes under Qualifications. "Preferred Qualifications" also under Qualifications. "Education" maybe under Qualifications. "Work From Home Requirements" maybe under Requirements? Or could be under Requirements. "Technical And Logistical Requirements" maybe under Skills? Or Requirements. We need to avoid duplication and keep sections meaningful.
We can have sections: About the role (h3), Responsibilities (h3), Qualifications (h3) (cover required, preferred, education), Skills (h3) (maybe technical/logistical requirements and work-from-home requirements?), Benefits (h3), Pay (h3), Schedule (h3). Ensure we don't create empty sections.
We must preserve all substantive info. Let's extract content.
About the role:
- "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."
- Also "Position Summary This is a Field/Remote Case Manager opportunity with up to 75% field travel in Hudson County and surrounding counties. The working schedule is Monday - Friday 8am-5pm EST." Actually schedule part maybe goes to Schedule section, but we can keep in About? Better to separate schedule.
But we can include mission statement in About the role.
Responsibilities:
- "Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies."
- "The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services."
- "The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner."
- "Strong assessment, writing and communication skills are required."
- Then the "Fundamental Components/Job Description" paragraphs:
- Conduct face to face visits in members home utilizing comprehensive assessment tools for members enrolled in MLTSS and/or D-SNP/FIDE and non-MLTSS members to evaluate medical needs to facilitate overall wellness and help them obtain services they need to thrive by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment.
- Member assignments may include pediatric population and medically complex cases.
- The case manager schedules and attends interdisciplinary meetings and advocates on the members’ behalf to ensure proper and safe discharge with appropriate services in place.
- The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner within the MLTSS/ FIDE benefit.
- The care manager is responsible for documenting accurately and timely in the member’s electronic health record.
- The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants.
- This position requires the case manager to use critical thinking skills and the ability to solve problems.
- The Case Manager will also be expected to mentor new hires once a level of proficiency has been attained in their role.
We can list these as - items.
Qualifications:
- Required Qualifications:
- Must reside in Hudson &/or Surrounding Counties in New Jersey
- 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
- Active and Unrestricted RN license in NJ
- Must possess reliable transportation and be willing and able to travel up to 75% of the time in Hudson and surrounding counties In New Jersey. Mileage is reimbursed per our company expense reimbursement policy
- 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.
- Preferred Qualifications:
- LTSS experience
- Case management and/or discharge planning experience
- Managed Care experience
- Medicaid and Medicare experience
- Experience using computer, keyboard, mouse, multi-system navigation; and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams)
- Education: Minimum associate’s degree or diploma in Nursing required
Skills: Could include technical and logistical requirements and work-from-home requirements. But we could also put those under Qualifications? However we have a separate Skills heading allowed. Let's put technical/logistical and work-from-home under Skills.
Skills content:
- Work From Home Requirements:
- Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and
- A minimum download speed of 25 mbs download and 3 mbs upload.
- Wi-Fi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVSHealth and HIPAA guidelines and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.).
- All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work from Home requirements.
- Technical And Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves
Benefits:
- "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."
Pay:
- "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."
Schedule:
- "Anticipated Weekly Hours 40 Time Type Full time"
- Also "The working schedule is Monday - Friday 8am-5pm EST."
We can combine schedule info.
Now produce HTML fragment with
headings and appropriate
or
- . Ensure no extra text outside.
We must not include markdown fences. Just raw HTML.
Let's craft.
Structure:
About the role
... mission statement ...
Responsibilities
- Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies.
- The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap‑around services.
- The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost‑effective manner.
- Strong assessment, writing and communication skills are required.
- Conduct face‑to‑face visits in members’ homes utilizing comprehensive assessment tools for members enrolled in Managed Long‑Term Services and Supports (MLTSS) and/or Dual Special Needs Program (D‑SNP/FIDE) and non‑MLTSS members to evaluate medical needs, facilitate overall wellness, and help members obtain needed services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program, and MLTSS program enrollment.
- Member assignments may include pediatric population and medically complex cases.
- Schedule and attend interdisciplinary meetings and advocate on members’ behalf to ensure proper and safe discharge with appropriate services in place.
- Work with the member and care team to develop a care plan and authorize services in a cost‑effective manner within the MLTSS/FIDE benefit.
- Document accurately and timely in the member’s electronic health record.
- Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants.
- Use critical thinking skills and problem‑solving abilities.
- Mentor new hires once a level of proficiency has been attained in the role.
Qualifications
- Required: Must reside in Hudson &/or Surrounding
headings and appropriate
or
- . Ensure no extra text outside.
We must not include markdown fences. Just raw HTML.
Let's craft.
Structure:
About the role
... mission statement ...
Responsibilities
- Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies.
- The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap‑around services.
- The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost‑effective manner.
- Strong assessment, writing and communication skills are required.
- Conduct face‑to‑face visits in members’ homes utilizing comprehensive assessment tools for members enrolled in Managed Long‑Term Services and Supports (MLTSS) and/or Dual Special Needs Program (D‑SNP/FIDE) and non‑MLTSS members to evaluate medical needs, facilitate overall wellness, and help members obtain needed services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program, and MLTSS program enrollment.
- Member assignments may include pediatric population and medically complex cases.
- Schedule and attend interdisciplinary meetings and advocate on members’ behalf to ensure proper and safe discharge with appropriate services in place.
- Work with the member and care team to develop a care plan and authorize services in a cost‑effective manner within the MLTSS/FIDE benefit.
- Document accurately and timely in the member’s electronic health record.
- Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants.
- Use critical thinking skills and problem‑solving abilities.
- Mentor new hires once a level of proficiency has been attained in the role.
Qualifications
- Required: Must reside in Hudson &/or Surrounding