Registered Nurse Case Manager - LTSS - Field in Union County NJ
Job
4004 Aetna Medicaid Administrators
Montville, NJ (In Person)
$108,232 Salary, Full-Time
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Job Description
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. Registered Nurse Case Manager
- LTSS
- Field in
Union County NJ Position Summary:
We are seeking a dedicated Remote/Field based Case Manager (RN) to join our team, serving members in Union County, NJ. This role involves 50-75% field travel and follows a Monday-Friday, 8:00 AM-5:00 PM EST schedule. The Case Manager will develop, implement, and support health service strategies, policies, and programs that ensure high-quality, cost-effective care for our members. These strategies encompass utilization management, quality improvement, network coordination, and clinical policy development. This position requires strong clinical judgment, critical thinking, and the ability to coordinate physical, behavioral, and psychosocial services.Required Qualifications:
Must reside in Union County 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. Mileage is reimbursed by 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 of Associate degree or Diploma 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.
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