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What does an mltss do?

Professionals in MLTC roles usually spend their days assessing clients’ needs, creating care plans, and coordinating a variety of long-term services such as home health aides, therapy, and social support. They communicate frequently with clients, families, healthcare providers, and community organizations to ensure all services are appropriate and implemented effectively. Documentation of client progress and compliance with Medicaid and healthcare guidelines are important ongoing tasks. While the work is generally team-based, MLTC professionals often manage their own caseloads and have opportunities for fieldwork and remote communication. This dynamic role allows for impactful client interactions and professional growth in the long-term care sector.

What are the key skills and qualifications needed to thrive in the mltss position?

To thrive in an MLTC (Managed Long Term Services and Supports) role, you need a strong background in healthcare management, case coordination, and comprehensive knowledge of Medicaid and long-term care regulations. Familiarity with case management software, electronic health records, and, in some cases, state-specific certification or nursing licenses are often required. Excellent communication, problem-solving, and organizational skills help professionals effectively advocate for clients and navigate complex care networks. These abilities are essential to ensure vulnerable populations receive timely, appropriate services while maintaining compliance with healthcare policies.

What is an mltss?

An MLTSS (Managed Long-Term Services and Supports) job typically involves coordinating and managing long-term care services for individuals with disabilities or chronic illnesses. Professionals in this field work with Medicaid programs, healthcare providers, and community organizations to ensure members receive appropriate support, such as home-based care, assisted living, or nursing facility services. These roles often require knowledge of case management, care planning, and Medicaid regulations to improve client well-being and healthcare outcomes.

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Mltss jobs near you
Infographic showing various Mltss job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution.

Case Manager Registered Nurse- Field in Somerset and surrounding Counties, NJ

CVS Health

Franklin Park, NJ • On-site

$66K - $142K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,335 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

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 ourselvesaccountable 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: Case Manager (MLTSS/D-SNP Programs)

The Case Manager is responsible for developing and implementing healthcare strategies to ensure quality care for members, particularly those in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE).

Key duties include:

  • Conducting in-home assessments using comprehensive tools.
  • Creating and managing individualized care plans.
  • Coordinating services such as adult/pediatric daycare, personal care, and nursing facility placements.
  • Collaborating with members, families, providers, and interdisciplinary teams.
  • Ensuring cost-effective service delivery and accurate documentation.
  • Mentoring new hires once proficient.
  • Traveling 50-75% within assigned counties.

Skills Required:Advanced clinical judgment, critical thinking, strong communication, and assessment skills. NJ Choice Certification is required.

Required Qualifications

  • Active and Unrestricted RN license in NJ required.
  • Must reside in Somerset County NJ
  • 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care 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.
  • 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

Preferred Qualifications

  • Case management and/or discharge planning experience preferred.
  • Managed Care experience preferred
  • Crisis intervention skills preferred

Education

  • Associate degree equivalent or higher

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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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