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Job Details

CVS Health

Nurse Reviewer, RN (2085471BR)





Princeton, New Jersey, United States

Job Description
Qualifying candidates with an active NJ Choice Certification may be eligible for a $10,000 sign on bonus

Open to candidates located anywhere in NJ. This is a work from home flexible position with travel requirements.

Review and track trends for New Jersey Choice Assessments and Interim Plan of Care documents, communicating with Case Managers via the Electronic Health Record to indicate if assessments are approved. Detail oriented and strong assessment skills required. Adherence to timelines provided by State of NJ, ability to handle high volume of assessments.

The Nurse Reviewer is required to have proficient computer skills. The positions requires reviewing of assessments in preparation for transmission to the State of NJ to request Medicaid clinical eligibility. Use of Excel and strong communication skills are required. Comfort and confidence in providing feedback to Supervisors and Case Managers.

Required Qualifications
- Unrestricted and active RN license in New Jersey.

-Willing and able to travel to Princeton, NJ using your own vehicle up to 35% of their time.

-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 Requirements

COVID-19 Vaccination Requirement
CVS 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
- NJ Choice Certification
- Experience with NJ Choice Assessments and Interim Plans of Care
- Experience with MS office and EMR systems like Dynamo.

Associate's Degree required; Bachelor’s degree in nursing preferred.

Business Overview
Bring your heart to CVS Health
Every 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.