Remote Care Manager I, Specialty Programs

Horizon Blue Cross Blue Shield; New Jersey; Hybrid; USD 71,000 - 94,000; Full time

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I – Specialty Programs in Hopewell, NJ with remote options. This full-time role coordinates care for specialty populations using established clinical guidelines and partners with families, physicians, and care teams to optimize outcomes.

Strong communication, organization, and problem-solving skills are essential for success. The position requires nursing licensure or a related bachelor’s degree, with a graduate degree

Qualifications

• Requires a license as an RN, or Bachelor degree in social work, health or behavioral science.
• Graduate level degree in Social Work or Health and Behavioral Science preferred.
• Minimum of three years’ experience serving members with special needs.

Responsibilities

• Assess member’s clinical need against guidelines for specialty populations.
• Coordinate care with members, families, physicians and the health care team.
• Monitor utilization and document care according to standards of practice.

Skills

Organizational skills

Oral and written communication

Problem solving

Conflict resolution

Education

RN license

Bachelor's degree in social work, health or behavioral science

Graduate level degree preferred

Tools

Microsoft Office

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I – Specialty Programs in Hopewell, NJ with remote options. This full-time role coordinates care for specialty populations using established clinical guidelines and partners with families, physicians, and care teams to optimize outcomes.

Strong communication, organization, and problem-solving skills are essential for success. The position requires nursing licensure or a related bachelor’s degree, with a graduate degree