Horizon Blue Cross Blue Shield of New Jersey·Newark, New Jersey
The RN I is responsible for assessing patient clinical needs against guidelines to ensure appropriate levels of care and length of stay. They coordinate high-quality, cost-effective care and manage transitions across the continuum of care for members.
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.
For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.
Our members are our neighbors, our friends, and our families.
It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us.
We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive.
When our employees bring their best and succeed, the Company succeeds.
This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.
• Active Unrestricted NJ RN License Required
Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint and Outlook) prefers knowledge in the use of intranet and internet applications.
Prefers working knowledge of case/care management principles.
Prefers working knowledge of principles of utilization management.
Prefers basic knowledge of health care contracts and benefit eligibility requirements.
Prefers knowledge of hospital structures and payment systems.
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.
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!
$70,500 - $94,395
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.
Requires an associate's or bachelor's degree in nursing or a health-related field and a minimum of two years of clinical experience. An active, unrestricted New Jersey RN license is mandatory.
Market context
New Jersey nursing jobs typically see steady demand across hospitals, long-term care, and outpatient settings, with new graduate nurses often eligible to apply. Competition can be strong because employers look for accredited nursing education, licensure readiness, and flexibility around shifts, while benefits such as tuition reimbursement, sign-on bonuses, and retirement plans can make offers more attractive. Review the AI-summarized requirements and benefits here to save time, then confirm your credential status and highlight any clinical rotations or patient-care experience in your application.
Rni, pca/Mdc/Dsnp
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RN I