RN I
Horizon Blue Cross Blue Shield of New Jersey(1 month ago)
About this role
Inpatient Utilization Review RN responsible for assessing clinical need and ensuring medically appropriate levels of care and lengths of stay. The role manages transitions across the continuum of care, coordinates services with providers and families, and supports cost-effective, high-quality care for members. Positioned within a health plan, the RN documents care, evaluates outcomes, and participates in quality improvement initiatives.
Required Skills
- Clinical Assessment
- Care Coordination
- Utilization Management
- Case Management
- Patient Advocacy
- Documentation
- Communication
- Time Management
- Problem Solving
- Negotiation
Qualifications
- Associate Degree Nursing
- Bachelor Degree Nursing
- Diploma Nursing School
- Active Unrestricted NJ RN License
About Horizon Blue Cross Blue Shield of New Jersey
horizonblue.comHorizon 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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