Hopewell, New Jersey, United States · Remote OK
$71k–$94k/yr
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, a…
Skills: Clinical assessment, Care management, Utilization management, Analytical skills, Compassion
Bridgewater, New Jersey, United States · On-site
$60/hr–$85/hr
PTC Therapeutics is a global commercial biopharmaceutical company. For over 25 years our team has been deeply committed to a unified purpose: Extending life’s moments for children and adults living with a rare disease. A…
Skills: Analytical Method Development, HPLC, LC/MS, GC/MS, Method Validation
Westwood, New Jersey, United States · On-site
$20/hr–$27/hr
Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improv…
Skills: Phlebotomy, Venipuncture, Capillary techniques, Patient flow management, Data entry
North Brunswick, New Jersey, United States · On-site
JLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring …
Skills: Laboratory operations, Glassware cleaning, GXP documentation, Autoclave operation, Decontamination
Upper Township, New Jersey, United States · On-site
$60/hr–$76/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Prescription Fulfillment, Patient Counseling, Immunization, Pharmacy Workflow, Inventory Management
Maplewood, New Jersey, United States · On-site
$80k–$90k/yr
Salary: 80,000.00 - 90,000.00 Other Forms of Compensation: Driven by our passion in the pursuit of hospitality and culinary excellence, Morrison Living has built community through dining experiences for over a century.…
Skills: Food Service Management, Budgeting, Profit and Loss, Menu Creation, Sanitation
New Brunswick, New Jersey, United States · Hybrid
$178k–$307k/yr
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less in…
Skills: Business Agility, Commercial Laws, Compliance Management, Corporate Governance, Critical Thinking
Camden, New Jersey, United States · On-site
$31/hr–$53/hr
About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access…
Skills: Blood Banking, Chemistry, Hematology, Microbiology, Immunology
Camden, New Jersey, United States · On-site
$31/hr–$53/hr
About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access…
Skills: Clinical Chemistry, Hematology, Blood Bank, Microbiology, Immunology
Camden, New Jersey, United States · On-site
$21/hr–$33/hr
About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access…
Skills: Healthcare Billing, Insurance Verification, Medical Coding, Customer Service, MS Office Suite
Hanover Township, New Jersey, United States · Remote OK
$108k–$161k/yr
Overview Being on medication is tough enough. We want to make getting it the easy part. Getting prescriptions to patients has become increasingly complex. When things get messy along the prescription journey, pharmaceuti…
Skills: Predictive Analytics, SQL, SAS, Data Mining, Multivariate Analysis
Hopewell, New Jersey, United States · On-site
$43/hr–$59/hr
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynam…
Skills: Patient Assessment, Nursing Process, Pain Management, Discharge Planning, Patient Education
Parsippany, New Jersey, United States · Remote OK
$99k–$248k/yr
Join our team as a Project Manager, Site Enrollment and Engagement Lead. This role can be based anywhere in the United States. Job Overview Site Enrollment and Engagement Lead (SEEL) Project Manager manages SEEL teams an…
Skills: Project Management, Line Management, Clinical Trial Enrollment, Stakeholder Management, Field Management
Camden, New Jersey, United States · On-site
$18/hr–$29/hr
About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access…
Skills: Phlebotomy, Vital Signs Monitoring, Point Of Care Testing, EKG, Foley Catheter Care
Hoboken, New Jersey, United States · Hybrid
$25/hr–$27/hr
Your Opportunity The Administrative Operations Assistant is a part-time role responsible for ensuring that physical mail arriving at Vytalize Health's Hoboken, NJ office is received, sorted, and routed accurately and on …
Skills: Mail Processing, Office Administration, Calendar Management, Document Organization, Confidentiality
Camden, New Jersey, United States · On-site
$21/hr–$33/hr
About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access…
Skills: Patient Observation, Patient Safety, Patient Rounding, Direct Patient Care, Indirect Patient Care
West Windsor, New Jersey, United States · On-site
$18/hr–$18/hr
Job DetailsJob Location: West Windsor, NJ 08550Salary Range: $18.50 - $18.75 HourlyAre you energetic and compassionate? Enjoy teaching, caregiving, and helping others experience their best life? Let us help you turn your…
Skills: Caregiving, Life Skills Teaching, Patient Safety, Crisis Management, Data Collection
Hamilton Township, New Jersey, United States · On-site
$18/hr–$19/hr
Job DetailsJob Location: Hamilton, NJ 08691Salary Range: $18.75 - $19.00 HourlyAre you energetic and compassionate? Enjoy teaching, caregiving, and helping others experience their best life? Let us help you turn your pas…
Skills: Caregiving, Applied Behavior Analysis, Crisis Management, Patient Care, Life Skills Teaching
Lakewood Township, New Jersey, United States · Hybrid
$75k–$90k/yr
Business Development Manager Healthcare & IT/MSP • Full-Cycle Sales Hybrid – New Jersey | Full-Time | $75–$90K Base • $150–$175K OTE About Digacore At Digacore, you’re joining a fast-paced MSP where teams take ownership,…
Skills: B2B Sales, Pipeline Generation, Cold Calling, Lead Qualification, Healthcare IT Sales
Hanover Township, New Jersey, United States · On-site
About the Role The primary role of this position is to perform as the first surgical assist during Interventional procedures What You’ll Be Doing Performs sterile preparation of access sites including, but not limited to…
Skills: Surgical Assisting, Sterile Technique, Angiography Equipment Operation, Ultrasound Equipment Operation, Radiation Safety
Hopewell, New Jersey, United States • Remote OK
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This field-based role involves performing clinical assessments for PCA and MDC services to ensure medically appropriate care and service authorization. The position coordinates care across the continuum, monitors patient outcomes, and advocates for members while maintaining fiscal accountability.
Candidates must hold an active, unrestricted New Jersey RN license and possess at least two years of clinical experience. A high school diploma or GED is required, with a bachelor's degree preferred, along with proficiency in MS Office and Windows-based environments.
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.
Assesses patient's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to members needs and aligned with benefit structure.
Evaluates the necessity, appropriateness and efficiency of service provided.
Develops, coordinates and assists in implementation of services to meet the needs of the members.
Coordinates with patient, 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.
Monitors patient'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.
Refers members to MLTSS when appropriate.
Educates members on the availability of SNP if appropriate.
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.
Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
Completes other assigned functions as requested by management.
Performs duties as assigned by management.
High School Diploma/GED required.
Bachelor degree preferred or relevant experience in lieu of degree.
A minimum of two (2) years clinical experience is preferred.
Additional licensing, certifications, registrations:
Active Unrestricted NJ RN License Required.
Knowledge:
Proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications.
Working knowledge of case/care management principles.
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
Skills and Abilities:
Analytical
Compassionate
Interpersonal & Client Relationship Building Skills
Sound Decision Making
Active Listening
Organization/Planning/Priority Setting
Problem Solving/Critical Thinking
Team Player
Time Management
Written/Oral Communication Skills (Bi-lingual preferred)
Travel (If Applicable):
This is a field based position, daily local travel is required.
Requires a car with valid New Jersey State License and Insurance.
Addendum:
Completes NJ Choice Home Care Assessments for new referrals to MLTSS.
Assists with MLTSS Case Management when necessary, to cover for FMLA or to maintain MLTSS Caseloads below contractual obligations.
Provide support when needed to MLTSS Care Management Staff, including but not limited to Annual Assessment, 90 day and/or Post Hospital visits.
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!
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
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.
Horizon BCBSNJ is an independent licensee of the Blue Cross Blue Shield Association.
Horizon Blue Cross Blue Shield of New Jersey- the state’s largest and oldest health insurer - is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon provides a wide array of medical, dental, vision and prescription insurance products and services. As New Jersey’ health solutions leader, Horizon is transforming healthcare by working with doctors and hospitals to deliver innovative, patient-centered programs that improve quality and lower costs. It is headquartered in Newark, NJ with offices in Wall and Hopewell, NJ. Horizon serves 3.7 million members including more than 1 million who rely on Medicaid for their health coverage.
Offices: 3 Penn Plaza East, Newark, NJ 07105, US · 1427 Wyckoff Road, Wall, NJ 07727, US · 250 Century Parkway, Mt. Laurel, NJ 08054, US · 1700 American Boulevard, Princeton Place, Pennington, NJ 08534, US
Based on 3633 listings with disclosed salaries, most healthcare jobs in New Jersey pay between $70k–$209k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 15,463 open healthcare positions in New Jersey listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Hackensack Meridian Health, CVS Health, Atlantic Health, Cooper University Health Care, BAYADA Home Health Care, among others. Browse the listings above to see every active employer.
Yes — 1959 of the 15463 open healthcare positions offer remote or hybrid work (524 remote, 1435 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
