Care Manager I, Specialty Programs (northern Nj Counties)

Horizon Blue Cross Blue Shield of New Jersey

Hopewell, NJ, United States
$70,500 - $94,395; not specified; comprehensive he...
Care coordination duties
Specialty populations
Member advocacy
The Care Manager I – Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations

Job Summary

  • The Care Manager I – Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations.
  • This position implements interventions to ensure efficient utilization of benefits.
  • At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth.

Matching Summary

The Care Manager I – Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations.

Salary

$70,500 - $94,395; Not specified; Comprehensive health benefits (Medical/Dental/Vision), Retirement Plans, Generous PTO, Incentive Plans, Wellness Programs, Paid Volunteer Time Off, Tuition Reimbursement

Skills & Requirements

Must-have

  • care coordination duties
  • specialty populations
  • member advocacy
  • utilization monitoring
  • quality improvement

Nice-to-have

  • mission-driven organization
  • innovative and inclusive environment
  • collaboration and growth

Key Requirements

  • RN license or Bachelor degree in social work, health or behavioral science
  • 3 years' experience serving members with special needs
  • Knowledge of case management standards
  • Knowledge of managed care principles
  • Knowledge of specialty population
  • Valid New Jersey State License and Insurance

Work Rights

Not specified

Tailored Resume

Cover Letter