About this opportunity
4004 Aetna Medicaid Administrators lists this Case Manager Registered Nurse - Field in Suffolk, Brooklyn, Kings & Queens County NY opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Registered Nurse Case Manager – Field
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: 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: 40.
Time Type: Full time.
Pay Range: The typical pay range for this role is: $66,575.00 - $142,576.00. 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.
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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/23/2026.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
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Worksite address
new york, NY, 10261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.