RN II/ High Risk Maternity & NICU Case Manager
Horizon Blue Cross Blue Shield of New Jersey(25 days ago)
About this role
An RN II within Horizon BCBSNJ’s Utilization Management/Clinical Advocate team who applies clinical judgment to ensure members receive medically appropriate care and smooth transitions across the continuum. The role functions as a clinical resource for projects and teams, supports quality improvement, and engages with members, families, and multidisciplinary providers to optimize member outcomes.
Required Skills
- Case Management
- Care Coordination
- Clinical Assessment
- Utilization Review
- Patient Advocacy
- Motivational Interviewing
- Communication
- Critical Thinking
- Mentoring
- Documentation
+2 more
Qualifications
- High School Diploma/GED
- Bachelor's Degree (Preferred)
- Active Unrestricted NJ RN License or Compact License
- CCM Certification (Preferred)
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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