Case Management Analyst - Middlesex County NJ

Job DescriptionQualifying candidates are eligible for an up to $5,000 sign on bonus. Candidates holding a NJ Choice Certification are eligible for an up to $10,000 sign on bonus.Develop, implement, support, and promote healthservice strategies, tactics, policies, and programs thatdrive the delivery of quality healthcare to our members.Health service strategies, policies, and programs arecomprised of utilization management, qualitymanagement, network management, clinical coverageand policies. The position requires advanced clinicaljudgment and critical thinking skills in order to facilitateappropriate physical, behavioral health, psychosocialwrap around services. The care manager will beresponsible for, care planning, direct providercollaboration, and effective utilization of availableresources in a cost-effective manner. Strong assessment,writing and communication skills are required.Fundamental Components/Job Description:The Case Manager is responsible for conducting face toface visits in the members home utilizing comprehensiveassessment tools for members enrolled in ManagedLong-Term Services and Supports program (MLTSS).Successful completion of company sponsored NJ ChoiceCertification is requirement for continued employment.The case manager is responsible for coordinating andcollaborating care with the member/authorizedrepresentative, PCP, and any other care teamparticipants. The case manager schedules and attendsinterdisciplinary meetings and advocates on themembers behalf to ensure proper and safe dischargewith appropriate services in place. The case managerworks with the member and care team to develop a careplan and authorizes services in a cost-effective mannerwithin the MLTSS benefit. The care manager isresponsible for documenting accurately and timely in themember's electronic health record. This position requiresthe case manager to use critical thinking skills and theability to problem solve. The Case Manager will also beexpected to mentor new hires, once, a level ofproficiency has been attained in their role.Pay RangeThe typical pay range for this role is:Minimum: 19.52Maximum: 38.99Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications2+ years of paid professional experience working directly with the elderly or physically disabled in an institutional or community setting.- Willing and able to travel 50-75% of their time using your own vehicle to meet members face to face in Middlesex County NJ and surrounding areas/counties- Valid driver's license required- 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.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Case management and/or discharge planning experience- Managed care experience- Crisis intervention skillsEducationBachelor's degree in a health related or behavioral science field required. Master's degree in a health related or behavioral science field preferred.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04