Specialty Care Manager I — Care Coordination

100 Horizon Healthcare Services, Inc; Hopewell (NJ); On-site; USD 71,000 - 94,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement Plans

Generous PTO

Tuition Reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I for Specialty Programs in New Jersey. The role focuses on care coordination, transitioning members to the continuum of care, and ensuring appropriate utilization of benefits. Requires RN license or BA in social work/health.

Three years of relevant experience preferred, with strong MS Office skills. The position emphasizes collaboration with physicians and care teams to deliver high-quality, cost-effective care and to

Qualifications

• Requires RN license, or Bachelor degree in social work, health or behavioral science. Graduate level degree preferred.
• Minimum of three years’ experience serving members with special needs.

Responsibilities

• Assess member’s clinical need against guidelines for specialty population-based members.
• Implement delivery of high quality, cost-effective care.
• Coordinate with member, family, physician and healthcare team to meet needs.

Skills

Organizational skills

Communication

Problem solving

Microsoft Office

Education

RN license

Bachelor degree in Social Work/Health/Behav. Science

Tools

Excel

Access

Word

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I for Specialty Programs in New Jersey. The role focuses on care coordination, transitioning members to the continuum of care, and ensuring appropriate utilization of benefits. Requires RN license or BA in social work/health.

Three years of relevant experience preferred, with strong MS Office skills. The position emphasizes collaboration with physicians and care teams to deliver high-quality, cost-effective care and to