RN II (Field Based - Passaic County)

Horizon Blue Cross Blue Shield of New Jersey
Hopewell, New Jersey, United States
Full Time
On Site
Junior
USD 79,100 – 105,945
High School
Healthcare Healthcare Life Sciences

Posted 1 week ago

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Excellent 4.7

Job summary

This field based RN role assesses members' clinical needs and develops care plans, ensuring appropriate, cost-effective, and high-quality service delivery. Responsibilities include evaluating care necessity, coordinating with healthcare providers, monitoring outcomes, advocating for members, and documenting processes to improve health outcomes and resource utilization.

Responsibilities

The RN II performs clinical assessments of members to ensure appropriate levels of care and develops individualized, member-centric care plans. They coordinate care across the continuum, monitor medical outcomes, and advocate for members while ensuring fiscal accountability.

Qualifications

care planning clinical assessment communication healthcare contracts hospital structures multidisciplinary collaboration problem solving utilization management

Candidates must hold an active, unrestricted New Jersey RN license and possess at least two years of clinical experience. A high school diploma or GED is required, with a bachelor's degree preferred, along with proficiency in MS Office and the ability to perform daily local travel.

English

Benefits

  • Comprehensive health benefits
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Retirement plans
  • Generous PTO
  • Incentive plans
  • Wellness programs
  • Paid volunteer time off
  • Tuition reimbursement

Company

Horizon Blue Cross Blue Shield of New Jersey

Horizon Blue Cross Blue Shield of New Jersey

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Insurance
Location
Hopewell, New Jersey, United States

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Excellent 4.7
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