RN II (Field Based - Camden County)

IntelliResume; Hopewell, Mobile (NJ, AL); On-site; USD 79,000 - 106,000; Full time

Benefits offered by this job

Comprehensive health benefits (Medical

Dental/Vision)

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 field-based RN to perform assessments and develop member-centric plans of care in Hopewell, NJ. You will coordinate with physicians, hospitals, and families to ensure appropriate services and outcomes.

The role requires a High School Diploma or GED, a Bachelor's degree preferred (or relevant experience in lieu of degree), and a minimum of two years of clinical experience with an active NJ RN license.

Qualifications

• High School Diploma or GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• Minimum of two years of clinical experience required.
• Active, Unrestricted NJ RN License required.

Responsibilities

• Assess member's clinical needs against established guidelines.
• Evaluate the necessity, appropriateness, and efficiency of services provided.
• Develop, coordinate, and assist in the implementation of individualized plans of care.
• Coordinate with patients, families, physicians, hospitals, and other external customers.
• Monitor member's medical care activities and outcomes for appropriateness and effectiveness.
• Advocate for members/families among various sites to coordinate resource utilization.
• Encourage member participation and compliance in the program.
• Document accurately and comprehensively based on standards of practice.
• Interact and communicate with multidisciplinary teams for continuity of care.
• Evaluate care by problem-solving and participating in quality improvement programs.

Skills

Clinical assessment

Care coordination

Documentation

Interdisciplinary communication

Education

High School Diploma/GED

Bachelor's degree preferred

Job description

About This Role

This field-based position is responsible for performing assessments of members using established guidelines to ensure appropriate levels of care and develop member-centric plans of care.

Highlights

• Pay: $79,100 - $105,945/year


• Location: Hopewell, NJ


• Schedule: Full-time

What You'll Do

• Assess member's clinical needs against established guidelines.


• Evaluate the necessity, appropriateness, and efficiency of services provided.


• Develop, coordinate, and assist in the implementation of individualized plans of care.


• Coordinate with patients, families, physicians, hospitals, and other external customers.


• Monitor member's medical care activities and outcomes for appropriateness and effectiveness.


• Advocate for members/families among various sites to coordinate resource utilization.


• Encourage member participation and compliance in the program.


• Document accurately and comprehensively based on standards of practice.


• Interact and communicate with multidisciplinary teams for continuity of care.


• Evaluate care by problem-solving and participating in quality improvement programs.

Education:

• High School Diploma/GED required


• Bachelor degree preferred or relevant experience in lieu of degree

Experience:

• Minimum of two (2) years clinical experience required

Licenses & Certifications:

• Active Unrestricted NJ RN License required

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)


• Retirement Plans


• Generous PTO


• Incentive Plans


• Wellness Programs


• Paid Volunteer Time Off


• Tuition Reimbursement

About Horizon Blue Cross Blue Shield NJ

Horizon Blue Cross Blue Shield of New Jersey empowers members to achieve their best health. For over 90 years, they have been New Jersey's health solutions leader, driving innovations that improve healthcare quality, affordability, and member experience.