RN I

Horizon Blue Cross Blue Shield of New Jersey empowers its members to achieve their best health by driving innovations that improve healthcare quality, affordability, and member experience. The company values its best-in-class employees and strives to maintain an innovative and inclusive environment that allows them to thrive.

Requirements

• Assesses patient's clinical need against established guidelines
• Evaluates the necessity, appropriateness and efficiency of medical services and procedures
• Coordinates and assists in implementation of plan for members
• Monitors and coordinates services rendered outside of the network
• Coordinates with patient, family, physician, hospital and other external customers
• Documents accurately and comprehensively based on the standards of practice and current organization policies
• Interacts and communicates with multidisciplinary teams
• Evaluates care by problem solving, analyzing variances and participating in the quality improvement program

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement