Case Manager Registered Nurse - Field in Northern New Jersey at CVS Health

Trenton, New Jersey, United States

Apply Now

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Must reside in the State of New Jersey (preference to residents of Essex and Mercer Counties; case load assigned based on 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
Computer literacy and demonstrated proficiency to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel
Highly organized, flexible, and ability to be adaptable and embrace change in a fast-paced environment
Ability to critically think and navigate challenging situations
Ability to prioritize competing priorities and meet deadlines
Self-motivated and dependable
Positive, forward-thinking mindset
Exceptional communication skills, both verbally and in writing
Must possess reliable transportation and be willing and able to travel up to 75% of the time (mileage reimbursed per company policy)
Requires face-to-face visits in various settings including, but not limited to, homes, hospitals, provider settings, etc. (travel requirements subject to change based on business need)

Responsibilities

Assess and evaluate members with potential care management needs through telephonic and face-to-face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long-term nursing facilities
Establish a cost-effective and member-centric care plan in collaboration with the member, authorized caregivers, and providers
Monitor and evaluate the effectiveness of care plans and adjust based on clinical judgment and member needs
Coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery
Take an interdisciplinary approach to advocate for member’s needs to ensure safe discharge post-hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity)
Maintain accurate and timely documentation in the member’s electronic health record
Mentor new hires once proficient in the role (as needed)

Skills

Key technologies and capabilities for this role

Registered NurseCase ManagementCare CoordinationTelephonic AssessmentFace-to-Face AssessmentCare PlanningClinical JudgementCritical ThinkingProblem-SolvingEHR DocumentationInterdisciplinary CollaborationDischarge Planning

Questions & Answers

Common questions about this position

What qualifications are required for this Case Manager RN role?

Candidates must reside in New Jersey, have 3+ years of work experience in pediatric, Special Needs and/or Adult Population, hold a BSN RN with current unrestricted state licensure in New Jersey, and possess computer literacy with proficiency in MS Office Suite.

Is this a remote position or does it require travel?

This is a field-based RN role requiring face-to-face visits in various settings including members' private residences, hospitals, behavioral, and long-term nursing facilities, with up to 75% travel time; reliable transportation is required and mileage is reimbursed.

What is the salary or compensation for this position?

This information is not specified in the job description.

What skills are essential for success in this role?

Key skills include critical thinking, problem-solving, exceptional communication both verbally and in writing, high organization, flexibility, adaptability in a fast-paced environment, ability to prioritize competing priorities, and self-motivation.

What makes a strong candidate for this Case Manager position?

A strong candidate resides in Northern New Jersey (preference for Essex or Mercer Counties), has relevant RN experience with special needs populations, can work autonomously with strong critical thinking, and is willing to travel up to 75% for field visits.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

Land your dream remote job 3x faster with AI

Try Jobo Free