
2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
🕒 October 26
🦌 Connecticut, New Jersey, +2 more states – Remote
💵 $79.1k - $105.9k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👻 Ghost score 16%
Where this job comes from
Posted on Horizon Connect @ Wall BCBSNJ's careers page, not through a job board
First seen by Remote Rocketship October 26
Still open on Horizon Connect @ Wall BCBSNJ's site. Checked 8 minutes ago.

2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
• Assess members' clinical needs against established guidelines and standards • Evaluate the necessity, appropriateness, and efficiency of services • Develop, coordinate, and assist in implementing individualized member care plans • Coordinate with patients, families, physicians, hospitals, and external customers • Coordinate high-quality, cost-effective care across the continuum • Monitor members' medical care activities and outcomes • Advocate for members and families across care sites • Encourage member participation and program compliance • Document accurately and comprehensively according to standards and policies • Communicate with multidisciplinary teams telephonically and/or in person • Evaluate care, solve problems, analyze variances, and participate in quality improvement • Complete other assigned functions as requested by management
• Associate's or bachelor's degree (or higher) in nursing and/or accredited diploma nursing school • Minimum of two (2) years clinical experience • Active unrestricted NJ RN license required • Proficiency in personal computers and supporting software in a Windows-based environment • Proficiency with MS Office products (Word, Excel, PowerPoint) and Lotus Notes • Working knowledge of case/care management principles • Working knowledge of utilization management principles • Requires a car with valid New Jersey State License and Insurance • Daily local travel required • Bi-lingual preferred
• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement
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