Field-Based RN Care Manager - MLTSS/DSNP
Horizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey is seeking a Field-Based Clinical Assessor to evaluate clinical needs and ensure care aligns with member benefits. This role involves coordinating services and monitoring patient outcomes while advocating for members. Applicants should possess a High School Diploma and an active NJ RN license. A Bachelor's degree or equivalent experience is preferred, along with two years of clinical experience. A comprehensive benefits package is included. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
- ...Cross Blue Shield of New Jersey is seeking a field-based position responsible for performing... ...services. This role involves coordinating care for members and evaluating service efficiency... ...years of clinical experience, an active RN license in New Jersey, and strong...Field
$70.5k - $94.4k
...improve health care quality, affordability... ...the Role The RN Assessor plays a... ...The RN Assessor manages their own... ...observation and interview‑based data collection... ...60% field‑based and 40% remote... ...Refer members to MLTSS when appropriate... ...availability of DSNP if appropriate....FieldLocal areaRemote work$70.5k - $94.4k
...innovations that improve health care quality, affordability,... .... About the Role This field based position is responsible... .... Refers members to MLTSS when appropriate.... ...efficiency as the member is managed along the continuum of... ...Active Unrestricted NJ RN License Required....FieldLive inLocal area$70.5k - $94.4k
...a Registered Nurse responsible for ensuring appropriate levels of care, assessing patient needs, and coordinating care plans. The ideal candidate will possess a nursing degree, an active New Jersey RN license, and at least two years of clinical experience. Salary ranges...Suggested- ...risk members. Responsibilities include developing member-centric care plans, coordinating with various stakeholders, and promoting preventative... ..., preferably within health-care delivery systems. Active RN license in New Jersey is required, with strong preference given to...Suggested
- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based case manager responsible for assessing and managing member care. This role emphasizes collaboration with healthcare teams to promote high-quality care. Ideal candidates should have a Bachelor's degree...Field
- ...Jersey. The position requires performing assessments for PCA and MDC services to ensure the appropriate level of care and services are authorized, requiring a NJ RN License. The ideal candidate should possess strong clinical experience, analytical skills, and demonstrate an...Field
$70.5k - $94.4k
Horizon Blue Cross Blue Shield of New Jersey is seeking an RN Assessor to conduct in-home assessments for healthcare services in... ...license and have a minimum of two years of clinical experience. Field-based role with significant local travel required; competitive salary...FieldLocal area- ...Registered Nurse in the State in which you are applying (or another NLC state). ~2+ years of previous experience working in care management and/or with CKD/ESRD patients is preferred. ~ Ability to take calls remotely on some nights and weekends ~ Must have Home Health...Remote workFlexible hoursNight shiftWeekend work
- ...grow your career with us, experience our caring culture, and enjoy work-life balance.... ...Workplaces in Financial Services & Insurance RN Field Case Manager We are growing all across the US and... ...is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE?...FieldWork at officeRemote workWork from homeRelocation packageFlexible hours
- Horizon Blue Cross Blue Shield of New Jersey is seeking a dedicated professional to support field-based Care Managers. This role involves ensuring timely healthcare services for members and effective communication via telephonic contact. The ideal candidate will have a...FieldWork at office
$56.2k - $75.29k
...solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members... ...is accountable for assisting and extending support to the field based Care Managers and RN I. This position also ensures facilitation of health care...FieldLive inLocal area$56.2k - $75.29k
100 Horizon Healthcare Services, Inc in New Jersey is looking for a Care Management Assistant. This role entails supporting field-based Care Managers and ensuring effective delivery of healthcare services. Ideal candidates should have a High School Diploma or GED, and experience...Field$90k
...OTA is seeking a Registered Nurse (RN) Manager, Pediatrics for a nursing job in... ...at $90,000 annually and up, based on experience BAYADA HOME HEALTH CARE is seeking a Registered Nurse (... ...relationships with clients, families, and field staff. If you are a nurse...FieldWeekly payFull timeWork at officeLocal areaMonday to FridayNight shift$70.5k - $94.4k
...is looking for a behavioral health professional to perform care management duties, ensuring appropriateness of care across various settings... ...health experience and relevant licensing. This is a field-based role requiring travel, offering a salary range of $70,500 -...Field$70.5k - $94.4k
Horizon Blue Cross Blue Shield of New Jersey seeks a field-based case manager. Your role will involve assessing and coordinating care for members, collaborating with healthcare teams, and advocating for families. The ideal candidate must have a Bachelor's degree and at...FieldLocal area- ...innovative Total Talent management firm dedicated to... .... Note: New Jersey RN Active License is required... ...Description This is a Field work contract role for... ...patients receive appropriate care while optimizing the... .... This is a Field Based position. This position...FieldContract workRemote work
- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing... ...planning. Candidates must have an active RN license in New Jersey, strong analytical skills...FieldContract workRemote work
$80 per unit
...and detail-oriented Registered Nurse (RN) - Home Health Care to support our home care agency on a per-case basis . This flexible, field-based role involves conducting in-home... ...Education: Provide education on disease management, medication awareness, self-care techniques...FieldHourly payDaily paidFull timePart timeRemote workFlexible hours$87.3k - $119.07k
...position is responsible for leading the managed long term support and services program clinical care team in a hands‑on manner to... ...: Active Unrestricted NJ RN/SW License Preferred. Candidates... ...Frail /Managed Medicaid Population based CM. Case Management/Disease Management...Work at officeLocal area$79.1k - $105.95k
...Blue Cross Blue Shield of New Jersey is seeking a Transplant Case Manager to serve as an advocate for patients throughout their transplant... ...social and financial barriers while ensuring access to quality care. The ideal candidate will have a High School Diploma or GED...- ...health services company is seeking a Case Manager in Trenton, NJ, to oversee a panel of members... ...involves conducting assessments, creating care plans, and ensuring compliance with... ...years of relevant experience and current RN licensure. A Bachelor's in Nursing is preferred...
- ...Lower Makefield Job ID 2026-240808 JOB OVERVIEW The Medication Care Manager is responsible for providing the highest degree of quality care... ...paid within hours of a shift Tuition Reimbursement In addition to base compensation, Sunrise may offer discretionary and/or non-...Work at officeLocal areaImmediate startShift work
$72.7k
...The incumbent assesses health management needs of the assigned member panel... ...conducts outreach, develops care plans, encourages behavior... ...Required : Current State of PA RN licensure or current multi‑state... ...Working Conditions Office‑Based. Heavy lifting: up to 10...Temporary workWork at officeLocal areaRemote work$57.7k
...The incumbent assesses health management needs of the assigned member panel... ...not limited to: developing a care plan, encouraging behavior... ...Required ~ Current State of PA RN licensure OR Current multi-... ...CONDITIONS Position Type Office-Based Teaches/Trains others...Temporary workFor contractorsWork at officeLocal areaRemote work$70.5k - $94.4k
...innovations that improve health care quality, affordability,... ...for performing RN duties using... ...duties and types of care management as assigned by management... ...accurately and comprehensively based on standards of... ...and/or a health‑related field, or accredited diploma...FieldLocal area$79.1k - $105.95k
100 Horizon Healthcare Services, Inc is seeking an RN Primary Nurse in New Jersey to deliver member-centric care management. The nurse will assess clinical needs, develop individualized care plans, and advocate for members across different care settings. Qualified candidates...$72.7k - $116.6k
...candidate to oversee a panel of members, assessing their health management needs and implementing care plans. The role requires a minimum of 7 years in... ...particularly proficiency in MS Excel. The role is office-based with a travel requirement of 0% to 25%. Salary ranges...Work at office$38 per hour
...Join to apply for the LPN Nurse Case Manager role at Oaks Integrated Care 1 year ago Be among the first 25 applicants Join to apply for the LPN Nurse Case Manager role at Oaks Integrated Care Get AI-powered advice on this job and more exclusive features. Join our team...Hourly payExtra incomeFull timeRelocation packageAll shifts- ...benefits. Performs duties as assigned by management. Responsibilities include providing timely... ...of or revisions to Client Medical Policy based on case review. Responsible for... ...higher) in nursing and/or a health related field OR accredited diploma nursing school. Requires...Field
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