Case Manager Registered Nurse (Field – Must reside in Northern and Upper Central Region of New Jersey; Preferably Mercer, Middlesex, or Somerset County)

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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This Case Manager Registered Nurse position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of the Northern and upper Central Region of New Jersey, preferably Middlesex, Bergan or Essex County. The requirements is for candidates to hold an NJ Registered Nurse License, and travel 50-75% of the time to meet with members face to face.

The care manager is responsible for assessing and evaluating 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.

The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers. The care manager monitors and evaluates the effectiveness of the care plans and adjust the care plan based on clinical judgement and member needs. Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery. The care manager will take an interdisciplinary approach to advocate for member’s needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity). Accurate and timely documentation in the member’s electronic health record is essential. The care manager role requires critical thinking, problem-solving skills, and the ability to work autonomously. Additionally, the care manager may be asked to mentor new hires once proficient in the role.

Required Qualifications

• Must reside in the Northern and upper Central Region of New Jersey, preferably in Middlesex, Bergan or Essex County

• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet with members face to face. Mileage is reimbursed per our company expense reimbursement policy

• 3+ years’ work experience in Pediatric, Special Needs and/or Adult Population

• 2+ years experience managing populations with mental health and/or substance use disorders

• RN with current unrestricted state licensure in the State of New Jersey

• Computer literacy and demonstrated proficiency in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.

Preferred Qualifications

• Certified Case Manager Certification

• Case Management experience in an integrated model.

• Bilingual preferred.

• Effective communication skills, both verbal and written.

• Working knowledge of problem solving and decision-making skills.

• Working knowledge of medical terminology.

• Working knowledge of digital literacy skills.

• Ability to deal tactfully with customers and community.

• Ability to handle sensitive information ethically and responsibly

Education

• Bachelor’s in Science & Nursing Required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$72,627.00 - $155,538.00

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. 
 

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