RN II/Care Manager-ONCOLOGY (REMOTE)

About This Role

This position is responsible for performing RN duties using established guidelines to ensure appropriate levels of care and planning for transitions in the continuum of care. It is ideal for experienced nurses looking to make a significant impact in patient management and care coordination.

Highlights

• Pay: $79,100 - $105,945/year
• Location: Hopewell, NJ
• Schedule: 8- or 10-hour workday, Monday through Friday, varying between 8am and 11pm

What You'll Do

• Assess patient's clinical needs against established guidelines to ensure appropriate care levels.
• Evaluate the necessity, appropriateness, and efficiency of medical services and procedures.
• Coordinate and assist in the implementation of care plans for members.
• Monitor and coordinate services rendered outside of the network and negotiate fees as appropriate.
• Coordinate with patients, families, physicians, and hospitals regarding care appropriateness.
• Advocate for members and families among various sites to coordinate resource utilization.
• Document accurately and comprehensively based on standards of practice and policies.
• Interact and communicate with multidisciplinary teams to ensure continuity of care.
• Evaluate care by problem-solving and participating in quality improvement programs.
• Serve as a mentor/trainer to new RNs and other staff as needed.

Requirements

Education:

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree

Experience:

• Minimum of two (2) years clinical experience
• Minimum of two (2) years’ experience with health care payer experience

Licenses & Certifications:

• Active Unrestricted NJ RN License or active Compact License required
• CCM certification preferred

Benefits

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

About Horizon Blue Cross Blue Shield NJ

Horizon Blue Cross Blue Shield of New Jersey empowers members to achieve their best health. For over 90 years, they have been New Jersey’s health solutions leader, driving innovations that improve healthcare quality, affordability, and member experience. They pride themselves on their best-in-class employees and strive to maintain an innovative and inclusive environment.