Experienced Full-Time Remote Field Case Manager RN - Cumberland County & Surrounding Areas - Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Program (D-SNP)
Join the CVS Health Team as a Field Case Manager RN and Make a Difference in the Lives of Our Members
CVS Health is seeking a compassionate and experienced Field Case Manager RN to join our team in Cumberland County and surrounding areas. As a Field Case Manager, you will play a vital role in delivering high-quality healthcare services to our members, working closely with them to develop and implement care plans that meet their unique needs. This is a full-time remote opportunity with 50-75% travel, offering a competitive salary and a comprehensive benefits package.
About CVS Health and Our Purpose
At CVS Health, we are dedicated to bringing our heart to every moment of your health. Our purpose is to deliver enhanced human-centric healthcare for a rapidly changing world, making healthcare more personal, convenient, and affordable. We strive to create a culture of inclusivity, respect, and empathy, where every colleague feels empowered to make a difference.
Job Summary
This is a full-time remote opportunity with 50-75% travel in Cumberland and surrounding counties. The schedule is Monday - Friday, 8am-5pm EST. As a Field Case Manager RN, you will be responsible for:
- Conducting 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)
- Developing, implementing, supporting, and promoting health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members
- Coordinating and collaborating care with members, primary care physicians, and other care team participants
- Scheduling and attending interdisciplinary meetings and advocating on members' behalf to ensure proper and safe discharge with appropriate services in place
- Developing care plans and authorizing services in a cost-effective manner within the MLTSS/FIDE benefit
- Documenting accurately and timely in members' electronic health records
- Mentoring new hires once a level of proficiency has been attained in their role
Key Responsibilities
Member-Centric Care
- Conduct comprehensive assessments of members' medical, behavioral, and psychosocial needs
- Develop and implement individualized care plans that address members' unique needs and goals
- Collaborate with members, families, and care teams to ensure seamless care coordination
Care Planning and Coordination
- Develop and implement care plans that meet members' unique needs and goals
- Coordinate with members, primary care physicians, and other care team participants to ensure comprehensive care
- Advocate on members' behalf to ensure proper and safe discharge with appropriate services in place
Clinical Judgment and Critical Thinking
- Utilize advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, and psychosocial wrap-around services
- Analyze complex medical and social data to inform care planning and decision-making
Requirements
Education and Licensure
- Active and unrestricted RN license in New Jersey
- Minimum of an Associate's degree in Nursing required
Experience and Skills
- 3+ years of clinical practice experience in a hospital setting, alternative care setting, or home health
- Must reside in Cumberland County or an adjacent county
- Willing and able to travel 50-75% in Cumberland 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
Compensation and Benefits
- Competitive salary range: $72,627.36 - $155,538.24
- Comprehensive benefits package, including medical, dental, and vision benefits
- Eligible for 401(k) retirement savings plan and Employee Stock Purchase Plan
- Fully-paid term life insurance plan and short-term and long-term disability benefits
Professional Growth and Development
- Opportunities for professional growth and advancement
- Free development courses and education assistance
- CVS store discount and discount programs with participating partners
Work Environment and Culture
- Remote work opportunity with 50-75% travel
- Collaborative and supportive team environment
- Commitment to diversity, equity, and inclusion
How to Apply
If you are a compassionate and experienced RN looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Please submit your application by February 1, 2025.
Equal Employment Opportunity
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions.
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