RN I: Patient Care & Care Coordination

IntelliResume; New Jersey; On-site; USD 71,000 - 94,000; 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 a registered nurse to perform clinical duties and coordinate patient care within established guidelines. The role focuses on transitions in the continuum of care and meaningful impact on patient management in Hopewell, NJ.

Ideal candidates have at least two years of clinical experience, a valid NJ RN license or Compact license, and a Bachelor’s degree or relevant experience.

Qualifications

• RN responsibilities and clinical coordination experience are required.
• Two years of clinical experience minimum.
• Active NJ RN license or active Compact license required.

Responsibilities

• Assess patient needs against guidelines to ensure appropriate inpatient care.
• Evaluate necessity and efficiency of medical services and procedures.
• Coordinate and assist in implementing care plans for members.
• Monitor and coordinate services outside the network and negotiate fees as appropriate.
• Coordinate with patients, families, physicians, and hospitals regarding care appropriateness.
• Deliver high-quality, cost-effective care supported by clinical guidelines.
• Document patient care activities accurately per standards and policies.

Skills

RN duties

Clinical coordination

Education

High School Diploma/GED

Bachelor degree or relevant experience

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking a registered nurse to perform clinical duties and coordinate patient care within established guidelines. The role focuses on transitions in the continuum of care and meaningful impact on patient management in Hopewell, NJ.

Ideal candidates have at least two years of clinical experience, a valid NJ RN license or Compact license, and a Bachelor’s degree or relevant experience.