Rn I, Pca/mdc/dsnp (field-based - Passaic County)

Horizon Blue Cross Blue Shield of New Jersey

Hopewell, NJ, United States
$70,500 - $94,395; not specified; comprehensive he...
Pca/mdc/dsnp services
Clinical need assessment
Service authorization
Horizon Blue Cross Blue Shield of New Jersey empowers members to achieve their best health through innovations that improve health care quality, affordability, and member experience

Job Summary

  • Horizon Blue Cross Blue Shield of New Jersey empowers members to achieve their best health through innovations that improve health care quality, affordability, and member experience.
  • This field-based position is responsible for performing assessments for PCA and MDC services using established guidelines to ensure appropriate level of care and services are authorized.
  • Horizon provides a comprehensive compensation and benefits package including health benefits, retirement plans, generous PTO, and tuition reimbursement.

Matching Summary

Horizon Blue Cross Blue Shield of New Jersey empowers members to achieve their best health through innovations that improve health care quality, affordability, and member experience.

Salary

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

Skills & Requirements

Must-have

  • PCA/MDC/DSNP services
  • clinical need assessment
  • service authorization
  • member advocacy
  • multidisciplinary team interaction

Nice-to-have

  • innovative and inclusive environment
  • mission-driven organization
  • quality improvement program participation
  • fiscal accountability understanding

Key Requirements

  • Active Unrestricted NJ RN License Required
  • Minimum of two (2) years clinical experience preferred
  • High School Diploma/GED required
  • Bachelor degree preferred or relevant experience
  • Proficiency in MS Office products
  • Working knowledge of case/care management principles
  • Working knowledge of utilization management principles

Work Rights

Not specified

Tailored Resume

Cover Letter