RN Care Coordination Specialist - Chronic Condition Plans
100 Horizon Healthcare Services, Inc
Horizon Blue Cross Blue Shield of New Jersey is seeking a Clinical Advocate to perform assessments for PCA and MDC services and authorize needed care in line with guidelines. You will coordinate individualized care plans, engage with members and providers, and advocate for access to necessary services while maintaining thorough documentation and contributing to quality improvement initiatives. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
$70.5k - $94.4k
...innovations that improve health care quality, affordability, and... ...appropriate and effective. Care Coordination & Continuum of Care Management... ...of individualized care plans. Facilitate delivery of high-quality... ...New Jersey Registered Nurse (RN) license or Compact RN license...SuggestedLive inWork at officeLocal area- ...Cross Blue Shield NJ in Hopewell, NJ is seeking a field-based RN to assess members against guidelines, ensuring medically appropriate services and developing member-centric plans of care. You will coordinate with families, physicians, and hospitals, document per policies...Suggested
- ...Now Hiring: MDS Coordinator We are currently seeking a... ...Retirement savings plan Professional development... ...Monitor and update resident care plans based on... ...findings and changes in condition. Provide education and... ...Qualifications: Current RN license in the state of...SuggestedImmediate start
- ...Blue Cross Blue Shield of New Jersey is seeking a field-based RN to perform assessments for PCA and MDC services, ensuring medically appropriate care aligns with benefits. The role requires building coordination with patients, families, physicians and hospitals to...Suggested
- ...for PCA/MDC services and authorize appropriate levels of care. The role emphasizes care coordination, patient advocacy, and collaboration with providers to... ...across the continuum. The ideal candidate holds an RN license with payer experience and strong knowledge of case...Suggested
$60k - $100k
...families. You will be integral in assessment, care coordination, and counseling, enabling our clients... ...to develop personalized intervention plans tailored to their individual goals,... ...psychosocial status, ensure safe living conditions, and address emerging issues. \n Facilitate...Remote jobFull timeWork experience placementLocal areaFlexible hours- ...RN License Required Benefits of MDS Coordinator position: ~ Low Cost Health Insurance ~ Vacation... ...it top priority to care for seniors with the respect... ...is to get you back in a condition to be independent once... ...individualized care plans for patients Perform...Flexible hours
$70.5k - $94.4k
...driving innovations that improve health care quality, affordability, and member experience... ...and external to this organization. Coordinates the delivery of high quality, cost-effective... ...clinical practice guidelines established by the plan. Advocates for the member/family among...Live inWork at officeLocal area$21.33 - $27.73 per hour
...in providing progressive, quality patient care with significant investments in our... ...manager. ESSENTIAL FUNCTIONS Facilitates and coordinates process standardization with vendor to promote... ...for the following benefits: Medical Plan Prescription drug coverage & In-House Employee...Full timeContract workTemporary workPart timeWork at officeFlexible hours$33 - $56 per hour
...registered nurse Outpatient RN CAP 1 is an entry... ...the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation... ...DEMANDS AND WORKING CONDITIONS: The physical... ...months experience in chronic/acute hemodialysis as...Hourly payWork experience placementNight shift- Horizon BCBSNJ in New Jersey seeks an experienced RN to perform care management duties within established guidelines, planning the continuum of care for members. You will assess clinical needs, evaluate services, and coordinate plans with patients, families, and providers...
$35 - $60 per hour
...registered nurse Outpatient RN CAP 1 is an entry... ...the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation... ...DEMANDS AND WORKING CONDITIONS: The physical... ...months experience in chronic/acute hemodialysis as...Hourly payWork experience placement- ...Title: Registered Nurse (RN) Location: Hopewell... ...provides direct nursing care to incarcerated... ...medical intake, sick call, chronic care, medication administration, and coordination with medical and mental... ...manage chronic medical conditions Respond to medical...Hourly payFull timeContract work
$44 - $49 per hour
...degree of quality nursing care, and to supervise daily... .... Develop a written plan of care for each... ...concerns in resident's condition. Make nursing rounds... ...any problems to the Unit Coordinator. Respond to emergency... ...equivalent ~ Valid NJ RN License ~ CPR Certified...Part timeLocal areaRelocation packageShift work- ...seeking an experienced Registered Nurse to perform care management duties within established guidelines, planning transitions across the continuum of care and... ...care for members. You will assess clinical needs, coordinate services, monitor outside-network care, advocate...
$70.5k - $94.4k
...ensure appropriate levels of care and services are authorized. Highlights... ...services provided. Develop, coordinate, and assist in the... ...Certifications Active Unrestricted NJ RN License required Benefits... ...Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans...Full time$70.5k - $94.4k
...to ensure appropriate level of care and services are authorized.... ...of service provided. Develops, coordinates and assists in implementation... ...guidelines established by the plan addressing the entire continuum... ...registrations Active Unrestricted NJ RN License Required. Knowledge...Live inLocal area$60k - $100k
...our innovative team as a Remote Hospice Care Specialist. This full-time position offers an... ...Develop and implement personalized service plans that reflect achievable goals, targeted... ...health professionals, and organizations to coordinate comprehensive care and advocate for...Remote jobFull timeLocal area$115k
...RN MDS CoordinatorSALARY: $115,000 Per YearBENEFITS:• Medical, Dental & Vision Insurance... ...to join our wonderful family.The MDS Coordinator will be responsible for, but not limited... ...in developing individualized resident Care Plans, identifying the needs of the resident and...Full timeRemote work- Horizon Blue Cross Blue Shield of New Jersey is seeking an RN to perform care management duties within established guidelines, coordinating the continuum of care for members in New Jersey. The role requires an active NJ RN license or a Compact license, strong analytical...
- ...campus. You will provide high-quality patient care using the nursing process and collaborate... ...an Associate's degree in Nursing, NJ RN licensure, BLS, and various specialty certifications... .... You will participate in discharge planning, education, and performance improvement...Full time
$130k - $200k
...possibilities. Job DescriptionPoint of Care Specialist - Northeast Excited to grow your career... ...SM-wide value proposition message, coordinating development and negotiation of cross SM... ...Retirement and Financial Well-being BD 401(k) Plan BD Deferred Compensation and...Daily paidFull timeContract workTemporary workWork at officeRemote workFlexible hours$70k
...Position Summary:The RN Care Coordinator will work as part of a multidisciplinary healthcare team... ...coordinated with home care agencies, specialists, or other resources as follows: ~... ...Speciality Care Practices, Insurance Plans Case Management Teams, Sub Acute Facilities...Hourly payLocal area$48.29 - $65.73 per hour
...Job Title: RN Location: RWJUH Hamilton Hospital... ...help advance patient care and strengthen the experience... ...supports timely, well-coordinated care decisions •... ...Sick Time Retirement Plans Medical and Prescription... ...complex health conditions or improving community...Hourly payWork experience placementLocal areaFlexible hoursShift workDay shiftAfternoon shift$58.73 per hour
...Registered Nurse (RN) -Pennington,NJ Local Pay : $58.73/hour... ...impact by delivering exceptional care in a professional healthcare... ...Monitor and assess patients' conditions, vital signs, and responses to... ...develop and implement patient care plans. Maintain accurate and...Hourly payTemporary workLocal areaMonday to FridayShift workNight shiftWeekend work$60k - $100k
...seniors in our hospice care facility. Your... ...nurses, and caregivers to coordinate our clients’ care effectively... ...tailored care plans in partnership with clients... ...to monitor clients’ conditions, assess their living environments... ...end-of-life care, chronic illness, and the...Full timeWork at officeRemote work$48.29 - $65.73 per hour
...Registered Nurse (RN) - Med Surg/Tele Req #... ...will help advance patient care and strengthen the... ...supports timely, well-coordinated care decisions * Providing... ...Time Retirement Plans Medical and Prescription... ...complex health conditions or improving community...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hoursShift workDay shiftAfternoon shift$48.29 - $65.06 per hour
...Registered Nurse (RN) - Outpatient Infusion Req... ...safe and quality patient care. Perform, adapt and safely... ...care and individualizes the plan of care to address a... ...whether that be enhancing the coordination for treating complex health conditions or improving community...Hourly pay16 hoursPart timeWork experience placementLocal areaFlexible hoursShift work- ...MDC services, ensuring medically appropriate care and authorized services. You will evaluate necessity and efficiency of care, coordinate services across the continuum, and advocate... ...with various care providers. Requires NJ RN license and travel within the region. #J-1...
- ...Horizon Healthcare Services, Inc. is seeking an RN to perform assessments for PCA and MDC services, ensuring medically appropriate care under established guidelines and benefit... .... The role involves evaluating care, coordinating services with patients and providers, and...
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