No Regulatory Requirement; Active Unrestricted NJ RN/SW License Preferred
Requires local travel and possible on call work specific to the managed long term support and services case management program.
Requires strong knowledge of the standards of practice for case managers.
Requires strong knowledge of managed care principles and concepts including Health Plan Employer Data and Information Sheet (HEDIS).
Skills and Abilities:
Requires strong organizational skills.
Requires strong oral and written communication skills.
Requires good PC skills and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.)
Requires good problem solving and conflict resolution skills.
Requires good presentation skills.
Requires ability to work with limited daily supervision
This is a field based position, daily local travel is required.
Requires a car with valid New Jersey State License and Insurance
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.