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. Position Summary Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and
Case Manager Registered Nurse - Field in Suffolk, Brooklyn, Kings & Queens County NY
Salary not disclosed
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Role overview
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 – Field in Suffolk, Brooklyn, Kings and Queens and surrounding counties, NY
Position Summary:
This position is a field‑based Registered Nurse (RN) role responsible for conducting member assessments for new NY Better Health enrollees, annual reassessments, semiannual reviews, and change‑in‑condition visits. The nurse will complete 2–3 home visits per day, with all documentation expected within 24 hours of each assessment.
The role requires extensive travel (up to 75%) across assigned Suffolk and Surrounding Counties, NY and close collaboration with the Scheduler/CM Assistant who coordinates
Work hours are Monday–Friday, 8:30 a.m.–5:00 p.m. EST.
Key Responsibilities:
- Initial Assessments — Conduct member assessments for new NY Better Health applicants.
- Reassessments — Perform annual, semiannual, and change‑in‑condition assessments per regulatory and plan requirements.
- Clinical Documentation — Submit complete, accurate documentation within 24 hours of each visit.
- Care Coordination — Communicate findings to interdisciplinary teams to support care planning.
- Travel & Scheduling — Maintain punctuality and reliability for 2–3 daily home visits coordinated by the scheduling team.
- Independent Work — Operate effectively in a remote/telephonic environment while collaborating with cross‑functional partners.
Required Qualifications:
- Registered Nurse (RN) with current, unrestricted state licensure in NY
- Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
- Case Management Experience
- Strong clinical assessment, critical thinking, and care coordination skills.
- Effective written and verbal communication skills.
- Ability to work independently in a telephonic/remote environment while collaborating effectively with cross‑functional teams.
Preferred Qualifications:
- UAS NY Experience/Certification
- Preferred Prior Assessment/Reassessment Nursing Experience
- Experience working with Medicaid and/or LTSS populations.
- Bilingual (Spanish Speaking) is a plus
Education:
- Associate’s degree in Nursing, Bachelor’s preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,575.00 - $142,576.00This 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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What they are looking for
Skills & requirements
Qualification
Registered Nurse (RN) with current, unrestricted state licensure in NY
Hiring company
Cvshealth
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