Remote Primary Care RN II – Case Management

Horizon Blue Cross Blue Shield; Northern (KY); Hybrid; USD 79,000 - 106,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking an RN II – Primary Nurse Care to support high‑risk members with guideline‑driven care across the continuum. This full‑time remote role partners with providers and the member to implement care plans.

The position emphasizes transition planning, preventative care outreach, and collaboration with care teams. You will mentor peers, coordinate transitions, and document care in accordance with policy while advancing preventative care and wellness

Qualifications

• Active RN license required (NJ license or compact).
• Minimum two years clinical experience; health care delivery setting preferred.
• Experience with acute and chronic conditions; payer experience preferred.
• Bachelor degree preferred or relevant experience in lieu of degree.

Responsibilities

• Assesses member's clinical needs against guidelines to ensure medically appropriate care.
• Coordinates with members, families, physicians, hospitals and external parties across the continuum of care.
• Develops and implements individualized plans of care; addresses barriers to self-management.
• Mentors and trains new RN staff; participates in audits and quality improvement.
• Documents care activities accurately per standards and policies.

Skills

Bi-lingual

Adaptability

Analytical

Compassion

Information sharing

Interpersonal skills

Decision making

Active listening

Organization

Time management

Communication

Team player

Education

Bachelor's degree preferred

Tools

MS Office

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking an RN II – Primary Nurse Care to support high‑risk members with guideline‑driven care across the continuum. This full‑time remote role partners with providers and the member to implement care plans.

The position emphasizes transition planning, preventative care outreach, and collaboration with care teams. You will mentor peers, coordinate transitions, and document care in accordance with policy while advancing preventative care and wellness