RN Care Manager & Member Advocate
Horizon Blue Cross Blue Shield
Horizon Blue Cross Blue Shield of New Jersey seeks an experienced RN to plan and coordinate care across the continuum, mentoring staff and serving as a subject matter expert for clinical projects. You will collaborate with members, families, physicians, and providers to ensure appropriate, high-quality care per guidelines, with emphasis on payer operations and cost-effective outcomes. Strong MS Office skills and an active NJ RN license are required. #J-18808-Ljbffr Horizon Blue Cross Blue Shield
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the RN Care Manager & Member Advocate in New York, NY vacancy
- MetroPlus in New York is seeking a Care Manager to optimize members' health care and delivery of care experiences while reducing costs through improved quality. The Care Manager engages members, families, and providers to assess needs, develop plans, and promote adherence...Suggested
- A health care organization based in New York seeks a Care Manager to enhance members' health care experiences by addressing clinical, psychosocial, and financial needs. The... ...experience, and a valid New York State RN license. Responsibilities include developing personalized...SuggestedWork at office
- CVS Health is seeking a Remote RN Case Manager to guide members through complex healthcare needs with personalized care planning and advocacy. This 100% remote, nationwide role offers a Monday-Friday schedule and no travel. You will conduct telephonic assessments, develop...SuggestedRemote jobMonday to Friday
- ConcertoCare is seeking an RN Case Manager to coordinate medical, behavioral, functional, and social care for a panel of complex patients. You will partner with physicians, social workers, and care team members to develop and execute comprehensive care plans, ensuring patient...Suggested
$21 per hour
...mission is to raise the standard of healthcare for everyone. As a Member Care Advocate (MCA), you will embody this mission and act as a trusted... ...and solution-oriented. You will be a part of a team that manages all member inquiries, utilizing all available resources to...SuggestedHourly payPermanent employmentContract workLocal areaRemote workWork from homeHome officeMonday to FridayIncluded Health
New York, NY3 days ago- SCAN Health Plan is looking for a Member Service Advocate to provide exceptional support to members regarding their benefits and concerns. This position is remote and involves educating members about options and ensuring their satisfaction through quality customer service...Remote job
- SVCMC Inc. in New York, NY is seeking a full-time Temporary Member Services Representative to handle member/provider inquiries and ensure accurate data maintenance. The role emphasizes empathetic, timely resolution, adherence to triage protocols, and contributing to high...Remote jobFull timeTemporary workWork at office
- A mission-driven company is hiring a Member Outreach Specialist to guide members through their egg donation journeys. This role involves conducting calls, providing support, and answering inquiries, requiring strong communication skills and a passion for reproductive health...Remote jobWeekend work
- Yuzu Health is seeking a Member and Provider Experience Specialist in New York, NY, responsible for delivering high-quality support to members and healthcare providers. This role involves handling inquiries, educating stakeholders about plan policies, and ensuring compliance...Remote job
- Health Advocate is seeking a Claims Advocate to help members navigate their benefits, resolve billing issues, and understand coverage. You’ll research claims, educate members on plan components, and work with providers to find resolutions. A strong focus on accuracy and...
- XO Health is seeking a Healthcare Support Advocate for its remote USA virtual contact center. You will serve as a primary contact for members and providers across phone, email, and chat, delivering timely, compliant support and documentation of all interactions. The role...Remote jobRotating shift
- Included Health is seeking a Member Care Advocate to support members remotely, helping them understand benefits and access care. You will work within established workflows to resolve issues, guide enrollment steps, and provide high-quality, empathetic service. New hires...Remote jobHome officeMonday to Friday
- ...combining virtual and in-person care with expert navigation,... ...technology that makes it easier for members to get the right care at the right time. Our Member Care Advocates (MCAs) are some of the most... ..., and customer relationship management (CRM) software, with the...Local areaRemote workHome officeMonday to Friday
- Included Health is seeking a remote Member Care Advocate (MCA) to support members with benefits navigation and care options. You will handle inbound calls and chats, explain coverage and cost-sharing, locate in-network providers, and guide enrollments. Training lasts 3...Remote job
- CVS Health is seeking a Health Advocate to support the Healthy Outcomes Team. You will engage with Medicare members via phone to explain benefits, encourage screenings, and connect them with services and medications. The role emphasizes clear communication, empathy, and...Remote work
$83k - $89k
Santa Barbara Cottage Hospital is seeking an RN Case Manager to coordinate care for patients while working with multidisciplinary teams. The role requires a current RN license in Texas and at least three years of clinical nursing experience. Responsibilities include assessing...- ...Healthcare Network is seeking a Registered Professional Nurse II, Acute Care, in New York. The role centers on delivering safe, comprehensive... ...with the interdisciplinary team to meet patient needs. The RN II will assess, plan, implement, and evaluate care, while guiding...Relocation package
- Advance Care Alliance New York is seeking a Care Manager to oversee and coordinate access to services for people with intellectual and developmental disabilities... ...Lake Success, NY, and involves working closely with members and their families to develop integrated care plans....Full timeWork at officeWork from homeFlexible hours
- Care Design New York seeks a Care Manager to develop, implement, and monitor person-centered Life Plans for individuals with intellectual... ...a hybrid setting, with driving as needed for members outside NYC. You will advocate for informed decisions, coordinate with an interdisciplinary...Work at office
- ...Overview The primary goal of the Care Manager is to optimize members' health care and delivery of care... ...referring to community supports Advocate for members by assisting them to... ...as a Registered Professional Nurse (RN) issued by the New York State Education...Work at office
MetroPlusHealth
New York, NY3 days ago $101.82k - $140.43k
...Position Summary The RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department... ...all relevant patient information to appropriate health team members. Ensures department goals of LOS reduction, readmission...Local areaCapsuleAID
New York, NY4 days ago- ...About This Role The Care Manager (RN) position at Centene involves developing and facilitating complex care management activities for members with physical needs, focusing on personalized care plans and education. This role is ideal for nurses who are passionate about...Full timeLocal areaRemote workFlexible hoursDay shift
IntelliResume
New York, NY1 day ago - Green Key Resources is seeking experienced remote Care Managers for the New York metro area. This role supports MLTC members by coordinating medical, psychosocial, and... ...interdisciplinary team. The ideal candidate is an RN licensed in NY with prior managed care or MLTC experience...Remote job
$80k - $95k
...Health. Kinder, more supportive care. SUMMARY The Registered Nurse (RN) Care Manager for Belong Health's DSNP program... ...responsible for providing comprehensive, member‑centered care management services... ...on care management services. Advocate, empower, inform, and educate...Remote work- MetroPlus in New York is seeking a Care Manager to optimize members' health care and care experience, collaborating with the member’s care team to develop... ...needs. The position requires a New York State RN license, a Bachelor’s degree, and at least two years of healthcare...
$110.1k - $143.2k
..., NJ 08873 Job Title: Nurse Care Coordinator Location: RWJ -... ...time by the right people The RN Care Manager will utilize skilled intervention... ...working relationships that advocate for the patient Documents... ...class work experience to every member of the team. We honor and appreciate...Full timeTemporary workWork experience placementLocal areaFlexible hoursShift work- A healthcare provider based in New York is seeking a Care Manager to enhance members’ healthcare delivery while achieving cost savings through improved... ...candidate will possess a Bachelor’s Degree, valid NYS RN license, and a minimum of 2 years of experience in a health...
$50.2k
...implements effective utilization management strategies including: review of appropriateness of health care services, application of... ...services; educates providers and members on a proactive basis; and analyzes... ...States Registered Nurse (RN) license Delaware RN license...Remote jobFor contractorsWork at officeLocal areaFlexible hoursWeekend work- ...an experienced Registered Nurse to join our remote care management team for New Jersey. You will develop and... ...work with providers to improve outcomes across the member population. This role requires active NJ RN licensure, 2-4 years of nursing experience, and willingness...Remote job
- ...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of... ...services in response to our patients' and members' needs. These high-quality healthcare... ...experienced candidates BSN for new graduates NYS RN license required CCM preferred 1 year of...Relocation package
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Care Manager & Member Advocate. Be the first to apply!
Related searches
- rn injector New York, NY
- unique rn New York, NY
- rn non bedside New York, NY
- med surg medical surgical rn registered nurse New York, NY
- travel registered nurse rn New York, NY
- rn outpatient surgery New York, NY
- cath-lab rn New York, NY
- rn no experience New York, NY
- behavioral rn New York, NY
- injection rn New York, NY