Case Manager Registered Nurse - Field in Middlesex County NJ
About the role
We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Middlesex 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.
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
Requirements
- 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
- Residency in Middlesex County, NJ
- Successful completion of the NJ Choice Certification, including: Minimum exam score of 80%, Completion of state training modules, 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
Qualifications
- Minimum of an Associate Degree in nursing
Skills
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)
Benefits
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.