RN I- Prior Authorizations Medicaid/DSNP

Horizon Blue Cross Blue Shield of New Jersey(1 day ago)

Hopewell, NJOnsiteFull TimeSenior$70,500 - $94,395Care Management

About this role

This position involves performing registered nurse duties focused on care management by evaluating patient needs, coordinating services, and advocating for members to ensure appropriate, efficient, and high-quality care. The role supports the entire continuum of care within a health insurance organization, emphasizing clinical assessment, resource coordination, and member participation.

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Required Skills

RN
Care Management
Utilization Management
Coordination
Patient Advocacy
Clinical Assessment
Health Care Contracts
Problem Solving
Communication
Teamwork

Qualifications

RN License
High School Diploma or GED
Bachelor Degree (preferred)
2+ years clinical experience

About Horizon Blue Cross Blue Shield of New Jersey

horizonblue.com

Horizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance quotes online from Horizon BCBSNJ website, an independent licensee of the BCBS Association.

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