Serves as a mentor/trainer to new RN's and other staff as needed. Positions involving ASO accounts may require some travel for on-site availability. What You'll Do * Assesses member's clinical need ...
Serves as a mentor/trainer to new RN's and other staff as needed. Positions involving ASO accounts may require some travel for on-site availability. What You'll Do * Assesses member's clinical need ...
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short orientation, must have valid NJ RN License Job Summary: This position is responsible for performing RN duties ...
Quick apply
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short orientation, must have valid NJ RN License Job Summary: This position is responsible for performing RN duties ...
The RN Clinical Documentation Reviewer reviews clinical documentation completed by field nurses, tracks completion and submission status, follows up on outstanding records, and supports compliance ...
The RN Clinical Documentation Reviewer reviews clinical documentation completed by field nurses, tracks completion and submission status, follows up on outstanding records, and supports compliance ...
The RN Clinical Documentation Reviewer reviews clinical documentation completed by field nurses, tracks completion and submission status, follows up on outstanding records, and supports compliance ...
The RN Clinical Documentation Reviewer reviews clinical documentation completed by field nurses, tracks completion and submission status, follows up on outstanding records, and supports compliance ...
Registered Nurse Case Manager - Field in Essex and surrounding counties New Jersey
East Orange, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Essex and Surrounding Counties, New Jersey Position ... This is a remote role with up to 75% field travel , Monday-Friday from 8:00 AM-5:00 PM EST . In ...
Registered Nurse Case Manager - Field in Essex and surrounding counties New Jersey
East Orange, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Essex and Surrounding Counties, New Jersey Position ... This is a remote role with up to 75% field travel , Monday-Friday from 8:00 AM-5:00 PM EST . In ...
DRG Clinical Validation Nurse
Manhattan, NY · On-site +1
$85K - $95K/yr
We are seeking a registered nurse with experience in clinical validation to work within our coding ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...
DRG Clinical Validation Nurse
Manhattan, NY · On-site +1
$85K - $95K/yr
We are seeking a registered nurse with experience in clinical validation to work within our coding ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...
DRG Clinical Validation Nurse
New York, NY · Remote
$85K - $95K/yr
We are seeking a registered nurse with experience in clinical validation to work within our coding ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...
Quick apply
DRG Clinical Validation Nurse
New York, NY · Remote
$85K - $95K/yr
We are seeking a registered nurse with experience in clinical validation to work within our coding ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...
Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...
Quick apply
Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...
Inpatient Nursing Expert - Clinical Evaluator
New York, NY · Remote
$55 - $65/hr
... (RN) Type: Contract Compensation: $55-$65/hour Location: Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing flowsheet documentation. * Validate accuracy ...
New
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Inpatient Nursing Expert - Clinical Evaluator
New York, NY · Remote
$55 - $65/hr
... (RN) Type: Contract Compensation: $55-$65/hour Location: Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing flowsheet documentation. * Validate accuracy ...
New
Chronic Care Manager (Remote - Compact States)
New York, NY · Remote
$10/hr
Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Chronic Care Manager (Remote - Compact States)
New York, NY · Remote
$10/hr
Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Registered Nurse Case Manager - LTSS - Field in Passaic and surrounding counties, New Jersey
Passaic, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Passaicand surrounding counties, New Jersey Position ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Registered Nurse Case Manager - LTSS - Field in Passaic and surrounding counties, New Jersey
Passaic, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Passaicand surrounding counties, New Jersey Position ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Registered Nurse Case Manager - LTSS - Field in Passaic and surrounding counties, New Jersey
Paterson, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Passaicand surrounding counties, New Jersey Position ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Registered Nurse Case Manager - LTSS - Field in Passaic and surrounding counties, New Jersey
Paterson, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Passaicand surrounding counties, New Jersey Position ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Utilization Management Nurse Consultant
New York, NY · On-site +1
$29.10 - $62.32/hr
UM Nurse Consultant Fully Remote- WFH Schedule : Monday-Friday 10:30AM- 7:30PM Position Summary: UM ... Required Qualifications -Must have 3+ years of Med Surg experience as an RN in the hospital setting ...
Utilization Management Nurse Consultant
New York, NY · On-site +1
$29.10 - $62.32/hr
UM Nurse Consultant Fully Remote- WFH Schedule : Monday-Friday 10:30AM- 7:30PM Position Summary: UM ... Required Qualifications -Must have 3+ years of Med Surg experience as an RN in the hospital setting ...
NP/PA - Virtual Urgent Care
New York, NY · Remote
$116K - $152K/yr
Remote Oscar Medical Group is a blended work culture where everyone, regardless of work type or ... Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health ...
NP/PA - Virtual Urgent Care
New York, NY · Remote
$116K - $152K/yr
Remote Oscar Medical Group is a blended work culture where everyone, regardless of work type or ... Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health ...
Nurse Practitioner or Physician Assistant, Part Time (Bilingual - Spanish) Virtual Health Assessm...
New York, NY · Remote
$65 - $75/hr
This is a remote position, open to candidates who reside in: Arizona; Arkansas; California ... Compact RN (NP only) * Experience with Clinical Documentation Improvement and/or managing HEDIS ...
Nurse Practitioner or Physician Assistant, Part Time (Bilingual - Spanish) Virtual Health Assessm...
New York, NY · Remote
$65 - $75/hr
This is a remote position, open to candidates who reside in: Arizona; Arkansas; California ... Compact RN (NP only) * Experience with Clinical Documentation Improvement and/or managing HEDIS ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
New York, NY · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
New York, NY · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Jackson, NJ · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Jackson, NJ · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Nurse Practitioner or Physician Assistant (Bilingual) - Virtual Health Assessment Team
New York, NY · Remote
$116K - $152K/yr
This a remote role. Hours: 8a-8p EST Monday - Thursday 8a-6p EST Friday & Saturday * 8 hour shifts ... Compact RN (NP only) * Experience with Clinical Documentation Improvement and/or managing HEDIS ...
Nurse Practitioner or Physician Assistant (Bilingual) - Virtual Health Assessment Team
New York, NY · Remote
$116K - $152K/yr
This a remote role. Hours: 8a-8p EST Monday - Thursday 8a-6p EST Friday & Saturday * 8 hour shifts ... Compact RN (NP only) * Experience with Clinical Documentation Improvement and/or managing HEDIS ...
ABA Therapist
New York, NY · On-site +1
$20.25 - $26.50/hr
Big Minds, Tiny Hands is looking for ABA Providers to provide Home Base / Remote Care (Telehealth ... Licensed Clinical Social Workers (LCSW) * Special Educators (Birth-Grade 2) * Registered Nurse ...
ABA Therapist
New York, NY · On-site +1
$20.25 - $26.50/hr
Big Minds, Tiny Hands is looking for ABA Providers to provide Home Base / Remote Care (Telehealth ... Licensed Clinical Social Workers (LCSW) * Special Educators (Birth-Grade 2) * Registered Nurse ...
Serves as mentor/trainer to new RN's and other staff as needed. Subject matter expert for the various projects and committees as needed. What You'll Do SHIFT TIME: 8am-5pm The Transplant Case Manager ...
Serves as mentor/trainer to new RN's and other staff as needed. Subject matter expert for the various projects and committees as needed. What You'll Do SHIFT TIME: 8am-5pm The Transplant Case Manager ...
Remote Rn Organ Procurement information
See Edison, NJ salary details
$43.5K - $58.3K
1% of jobs
$58.3K - $73.1K
2% of jobs
$73.1K - $87.9K
5% of jobs
$87.9K - $102.8K
13% of jobs
$106.8K is the 25th percentile. Wages below this are outliers.
$102.8K - $117.6K
14% of jobs
The median wage is $132.4K / yr.
$117.6K - $132.4K
15% of jobs
$132.4K - $147.2K
11% of jobs
$147.2K - $162.1K
13% of jobs
$164.1K is the 75th percentile. Wages above this are outliers.
$162.1K - $176.9K
12% of jobs
$176.9K - $191.7K
7% of jobs
$191.7K - $206.5K
7% of jobs
$43.5K
$138.8K
$206.5K
How much do remote rn organ procurement jobs pay per year?
What is the difference between Remote Rn Organ Procurement vs Remote Rn Transplant Coordinator?
| Aspect | Remote Rn Organ Procurement | Remote Rn Transplant Coordinator |
|---|---|---|
| Credentials | Registered Nurse (RN), certification in organ procurement (e.g., COT or equivalent) | Registered Nurse (RN), certification in transplant coordination (e.g., CTR, CCTC) |
| Work Environment | Hospitals, organ procurement organizations, remote coordination | Transplant centers, hospitals, remote patient management |
| Industry Usage | Primarily involved in organ retrieval and donor management | Involved in patient evaluation, post-transplant care, and follow-up |
Remote Rn Organ Procurement focuses on coordinating organ retrieval and donor management, requiring specific certifications related to organ procurement. Remote Rn Transplant Coordinator handles patient evaluation, transplant process, and post-transplant care, often with different certifications. Both roles are vital in the transplant process but differ in responsibilities and work settings.

RN II, Primary Nurse Care (Case Manager-REMOTE)
Hopewell, NJ • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Horizon Blue Cross Blue Shield of New Jersey rating
8.0
Based on 22 frontline employees who took The Breakroom Quiz
163rd of 304 rated insurance
Job description
About the Role
This position is responsible for performing RN duties for the Primary Nurse population using established guidelines to ensure appropriate level of care, as well as, planning for the transition to the continuum of care and developing a member centric plan of care. Primary Nurses will outreach to high risk members and will work to engage members in preventative care opportunities & screenings when possible. This position will perform duties and types of care management as assigned by management. Serves as a mentor/trainer to new RN's and other staff as needed. Positions involving ASO accounts may require some travel for on-site availability.
What You'll Do
- Assesses member's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to member's needs and aligned with the benefit structure.
- Facilitates response to gaps in care and identified high risk members to appropriate settings of care for annual wellness visits including collaboration with treating provider.
- Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided for both acute and chronic health care needs.
- Develops, coordinates and assists in implementation of individualized plan of care for members and identification of barriers towards Self-Management and optimal wellness.
- Coordinates with members, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
- Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care including transitional care.
- Monitors member's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
- 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.
- Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
- Serves as mentor/trainer to new RN's and other staff as needed
- Presents clinical cases during audits conducted by external review organizations.
- Performs other duties as assigned by management.
What You Bring
Education/Experience:
- High School Diploma/GED required.
- Bachelor degree preferred or relevant experience in lieu of degree.
- Requires a minimum of two (2) years clinical experience. Experience with both acute and chronic conditions preferred.
- Requires a minimum of three (3) years' experience in the health care delivery system/industry.
- Experience with health care payer experience strongly preferred.
Additional licensing, certifications, registrations:
- Active Unrestricted RN License Required; NJ License required and/or Compact License.
- Requires a valid Driver's License and Insurance.
Knowledge:
- Requires proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint) and Microsoft Outlook. Prefers knowledge in the use of intranet and internet applications.
- Requires working knowledge of case/care/disease management principles.
- Requires working knowledge of operations of utilization, case and/or disease management processes.
- Requires working knowledge of principles of utilization management.
- Requires basic knowledge of health care contracts and benefit eligibility requirements.
- Requires knowledge of hospital structures and payment systems.
- Prefers understanding of fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
Skills and Abilities:
- Bi-lingual proficiency preferred.
- Adaptability/Flexibility.
- Analytical.
- Compassion.
- Information/Knowledge Sharing.
- Interpersonal & Client Relationship.
- Sound decision making.
- Active listening.
- Organization Planning/Priority Setting.
- Problem Solving/Critical Thinking.
- Team Player.
- Time Management.
- Written/Oral Communications.
Travel:
- Travel primarily within State of NJ may be required. Occasional travel in the tri-state area may also be required.
Why Horizon?
At Horizon, you'll do meaningful work that directly improves lives-while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we'd love to hear from you!
Salary Range:
$79,100 - $105,945
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
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. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
What Horizon Blue Cross Blue Shield of New Jersey employees say
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About Horizon Blue Cross Blue Shield of New Jersey
Sourced by ZipRecruiter
Industry
Insurance services
Company size
5,001 - 10,000 Employees
Headquarters location
Newark, NJ, US
Year founded
1932