What You Bring Education/Experience:

Requires a minimum of three (3) broad clinical experience. Requires a minimum of three (3) years' experience in home care, discharge planning, or case management. Preferably with the elderly frail population. Requires a current NJ Choice certification in the State of NJ. Minimum of two (2) years' experience in the Managed Care industry preferred. Minimum of two (2) years' experience as an MLTSS Care manager in the managed care industry preferred.

Additional Licensing, Certifications, Registrations:

Current NJ Choice Certification. Active Unrestricted

NJ RN/SW

License Preferred. Current Driver's license.

Knowledge:

Requires strong knowledge of the MLTSS care management role.

Skills and Abilities:

Requires strong communication and presentation skills. Requires the ability to work independently and resolve problems through interaction with multiply departments and personnel. Requires strong knowledge of the MLTSS care management role. Travel (If Applicable): Requires local travel and possible on call work specific to the managed long term support and services case management program. 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. 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