Case Manager RN

7 days ago


Trenton, New Jersey, United States CVS Health Full time
Job Title: Case Manager RN

At CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Case Manager RN, you will play a critical role in driving the delivery of quality healthcare to our members.

Job Summary:

This is a remote Case Manager opportunity with 50 to 75% field travel in Union County and surrounding counties. The working schedule is Monday - Friday 8am-5pm EST.

Key Responsibilities:
  • Develop, implement, support, and promote health service strategies, policies, and programs that drive the delivery of quality healthcare to our members.
  • Conduct face-to-face visits in members' homes utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE).
  • Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants.
  • 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.
Requirements:
  • 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 reside in Union county or an adjacent county.
  • Willing and able to travel 50 to 75% in Union County and surrounding counties.
  • Successful completion of the NJ Choice certification is a contingency of employment.
Preferred Qualifications:
  • Case management and/or discharge planning experience.
  • Managed Care experience.
  • Crisis intervention skills.
What We Offer:

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.

As a CVS Health colleague, you will have access to free development courses, a CVS store discount, and discount programs with participating partners. You will also enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.


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