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What are the typical daily responsibilities for someone working in an MLTC (Managed Long Term Services and Supports) position?

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, and why are they important?

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 job?

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.

More about Mltss jobs
What cities are hiring for Mltss jobs? Cities with the most Mltss job openings:
What are the most commonly searched types of Mltss jobs? The most popular types of Mltss jobs are:
What states have the most Mltss jobs? States with the most job openings for Mltss jobs include:
What job categories do people searching Mltss jobs look for? The top searched job categories for Mltss jobs are:
Mltss jobs near you
Infographic showing various Mltss job openings in the United States as of June 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution.

Case Manager Registered Nurse - Field in Essex County, NJ

Oak St. Health

East Orange, NJ • On-site

$66K - $142K/yr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Case Manager, Registered Nurse (Field-Based) – Essex County, NJ

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.

We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Essex County and nearby areas. This is a remote role with up to 75% field travel, Monday–Friday from 8:00 AM–5:00 PM EST.

In this position, you will play a key role in delivering high-quality, cost‑effective care. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.

Key Responsibilities
  • Conduct in-home, face-to-face assessments for members enrolled in:
    • Managed Long-Term Services and Supports (MLTSS)
    • Dual Special Needs Programs (D-SNP/FIDE)
  • Evaluate member needs and coordinate services such as:
    • Adult/pediatric medical day care
    • Personal care assistant services
    • Nursing facility placement
    • MLTSS program enrollment
  • Partner with members, caregivers, PCPs, and interdisciplinary teams to develop and implement individualized care plans.
  • Authorize services in alignment with program guidelines and support safe transitions of care.
  • Document all case activity accurately and promptly in the electronic health record.
  • Apply strong clinical judgment and critical thinking to manage complex care needs.
  • Mentor new team members once proficiency is achieved.
Required Qualifications
  • Active, unrestricted RN license in New Jersey
  • Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.
  • 3+ years of clinical practice experience
  • 3+ years of experience in home health, hospice, or a similar setting
  • Ability to manage pediatric and medically complex cases
  • Residency in Essex County NJ
  • Successful completion of the NJ Choice Certification, including:
    • Minimum exam score of 80%
    • Completion of state training modules
    • 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
  • Experience with LTSS
  • Case management and/or discharge planning background
  • Managed care experience
  • Familiarity with Medicaid and Medicare
  • Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)
Education
  • Minimum of an Associate Degree in nursing

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $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.

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. 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.

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