RN, Healthcare Nursing, RN Nurse

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us.

We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

About the Role This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.

What You'll DoAssesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.

Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.

Coordinates and assists in implementation of plan for members.

Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.

Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.

Encourages member participation and compliance in the case/disease management program efforts.

Documents accurately and comprehensively based on the standards of practice and current organization policies.

Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.

Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.

Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.

Completes other assigned functions as requested by management.

Core Individual Contributor Competencies Customer Focus Accountable Learn Communicate What  You Bring Education/Experience Requires an associate-s or bachelor-s degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school.

Requires a minimum of two (2) years clinical experience.

Active Unrestricted NJ RN License Required RN’s are required to work a specified number of weekends and holidays to meet Regulatory and Accrediting body standards.
2 holidays and 3 Saturdays or Sundays per year.

Knowledge Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint and Outlook)
Prefers knowledge in the use of intranet and internet applications.

Prefers working knowledge of case/care management principles.

Prefers working knowledge of principles of utilization management.

Prefers basic knowledge of health care contracts and benefit eligibility requirements.

Prefers knowledge of hospital structures and payment systems.

Skills and Abilities

Analytical Compassion Interpersonal  & Client Relationship Skills Judgment Listening Planning /Priority Setting Problem Solving Team Player Time Management Written/Oral Communication & Organizational Skills Why Horizon?

At Horizon, you’ll do meaningful work…