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 ...
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 SHIFT TIME:11AM-8PM (M-F ...
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 SHIFT TIME:11AM-8PM (M-F ...
Case Manager, Registered Nurse (Oncology experience required)
New York, NY · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Case Manager, Registered Nurse (Oncology experience required)
New York, NY · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...
Allentown, PA · Remote
The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed ...
Nurse Case Manager
Manhattan, NY · On-site +1
... RN license in the state of NY Notes: Fully remote M-F 8am-5pm VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal ...
Nurse Case Manager
Manhattan, NY · On-site +1
... RN license in the state of NY Notes: Fully remote M-F 8am-5pm VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal ...
Transitional Care RN
Manhattan, NY · On-site +1
$90K - $110K/yr
Licensed with current Registration to practice as Registered Professional Nurse in NYS; Current CPR Certification. * Excellent customer service skills. * Ability to work within an integrated health ...
Transitional Care RN
Manhattan, NY · On-site +1
$90K - $110K/yr
Licensed with current Registration to practice as Registered Professional Nurse in NYS; Current CPR Certification. * Excellent customer service skills. * Ability to work within an integrated health ...
RN II, Primary Nurse Care
Hopewell, NJ · On-site +1
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 ...
RN II, Primary Nurse Care
Hopewell, NJ · On-site +1
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 ...
RN Care Manager (DSNP)
New York, NY · Remote
SUMMARY The Registered Nurse (RN) Care Manager for Belong Health's DSNP program is responsible for ... Ability to work independently and effectively within a fully remote and highly collaborative team ...
RN Care Manager (DSNP)
New York, NY · Remote
SUMMARY The Registered Nurse (RN) Care Manager for Belong Health's DSNP program is responsible for ... Ability to work independently and effectively within a fully remote and highly collaborative team ...
Be Seen First
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
Be Seen First
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 ...
True Care Solutions is actively seekingexperienced Per Diem Infusion Registered Nurses(RNs)to provide high-quality infusion therapy in patients homes acrossall five boroughs of New York City and ...
Quick apply
True Care Solutions is actively seekingexperienced Per Diem Infusion Registered Nurses(RNs)to provide high-quality infusion therapy in patients homes acrossall five boroughs of New York City and ...
*Nurse Case Manager II - New York
New York, NY · On-site +1
$44.14 - $48/hr
Remote Work Type: Remote Est. Pay Range: $44.14/hr. To $48.00/hr. All-inclusive on W2 Position ... Active, unrestricted RN license in the state of New York. * Minimum of 3 years of clinical ...
*Nurse Case Manager II - New York
New York, NY · On-site +1
$44.14 - $48/hr
Remote Work Type: Remote Est. Pay Range: $44.14/hr. To $48.00/hr. All-inclusive on W2 Position ... Active, unrestricted RN license in the state of New York. * Minimum of 3 years of clinical ...
Chronic Care Manager (Remote - Compact States)
New York, NY · Remote
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... 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 Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Remote 1099 NPs & APRNs - Hormone Replacement Therapy
New York, NY · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs & APRNs - Hormone Replacement Therapy
New York, NY · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Remote NPs - Hormone Replacement Therapy (Telehealth) 1099
New York, NY · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote NPs - Hormone Replacement Therapy (Telehealth) 1099
New York, NY · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Case Manager Registered Nurse - Field in Middlesex County NJ
East Brunswick, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Middlesex County, NJ Position Summary We're seeking ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Case Manager Registered Nurse - Field in Middlesex County NJ
East Brunswick, NJ · Remote
$66K - $142K/yr
Case Manager, Registered Nurse (Field-Based) - Middlesex County, NJ Position Summary We're seeking ... This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST. In this ...
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Newark, NJ · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Newark, NJ · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Registered Nurses
Manhattan, NY · On-site +1
$85K - $90K/yr
Position Overview REGISTERED NURSES $40-50/HOUR; FULL-TIME POSSIBILITY | FLEXIBLE SCHEDULES ... You are a nurse who is comfortable dealing with cultural differences and handling any situation ...
Registered Nurses
Manhattan, NY · On-site +1
$85K - $90K/yr
Position Overview REGISTERED NURSES $40-50/HOUR; FULL-TIME POSSIBILITY | FLEXIBLE SCHEDULES ... You are a nurse who is comfortable dealing with cultural differences and handling any situation ...
Registered Nurses
Manhattan, NY · On-site +1
$85K - $90K/yr
Position Overview REGISTERED NURSES $40-50/HOUR; FULL-TIME POSSIBILITY | FLEXIBLE SCHEDULES ... You are a nurse who is comfortable dealing with cultural differences and handling any situation ...
Registered Nurses
Manhattan, NY · On-site +1
$85K - $90K/yr
Position Overview REGISTERED NURSES $40-50/HOUR; FULL-TIME POSSIBILITY | FLEXIBLE SCHEDULES ... You are a nurse who is comfortable dealing with cultural differences and handling any situation ...
Remote Rn information
What are some common challenges remote RNs face and how can they overcome them?
What is the difference between Remote Rn vs Remote Lpn?
| Aspect | Remote Rn | Remote Lpn |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license, BSN often preferred | Licensed Practical Nurse (LPN) license |
| Work Environment | Hospitals, clinics, telehealth platforms | Long-term care, home health, telehealth |
| Employer & Industry Usage | Hospitals, healthcare providers, telehealth companies | Long-term care facilities, home health agencies |
Remote Rns typically hold a registered nurse license and work in hospitals or telehealth settings, providing comprehensive patient care. Remote Lpns, with a practical nurse license, often work in long-term care or home health. While both roles involve remote patient interaction, Rns usually handle more complex cases, whereas Lpns focus on basic patient care tasks.
What are the key skills and qualifications needed to thrive as a Remote RN, and why are they important?
What is the best remote job for a nurse?
How can I make 2000 a week working from home?
How to Become a Remote RN
To become a remote nurse, you need the same training, education, and qualifications that non-remote nurses possess, namely nursing licensure in your state. Some virtual RN roles may also require some period of on-site training to learn procedures. Since your duties include performing patient triage via telephone, webcam, or chat apps, you also need strong technical skills and a high-speed internet connection. Fluency in more than one language is a big plus, as is a strong track record of success in self-directed roles. Additionally, a variety of telehealth certifications are available, and these increase your appeal with potential employers.
How to make 300,000 as a nurse online?
What are Remote RNs?
How to make an extra $2000 a month as a nurse?
RN II, Primary Nurse Care (Case Manager-REMOTE)
Hopewell, NJ • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
Horizon Blue Cross Blue Shield of New Jersey rating
8.0
Based on 22 frontline employees who took The Breakroom Quiz
145th of 281 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
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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