RN I, PCA/MDC/DSNP (Field RN - Camden County)

About the role

The RN Assessor plays a vital, member-facing role within Camden County, focusing on Camden City and surrounding areas like Pensauken and Cherry Hill. This position is responsible for conducting in-home assessments for individuals seeking services such as Personal Preference Programs (PPP), medical daycare (adult and pediatric), and personal assistance programs. The role involves managing a 7-day turnaround for evaluations, typically completing 14-16 member assessments per week. Assessments are conducted primarily in members' homes, evaluating ADLs and IADLs, and require both observation and interview-based data collection.

Responsibilities

• Assesses patient's clinical need against established guidelines and/or standards to ensure medically appropriate services.
• Evaluates the necessity, appropriateness, and efficiency of services provided.
• Develops, coordinates, and assists in implementing services to meet members' needs.
• Coordinates care with patients, families, physicians, hospitals, and other external customers.
• Maintains continuity and efficiency in managing member care across the continuum of care.
• Educates members on available services and supports them in utilizing DSNP if applicable.
• Documents accurately and comprehensively based on clinical practice guidelines and organizational policies.
• Communicates effectively with multidisciplinary teams, both telephonically and in person.
• Evaluates care through problem-solving, analyzing variances, and participating in quality improvement initiatives.
• Completes other assigned functions as directed by management.

Qualifications

• Requires an associate's or bachelor's degree (or higher) in nursing and/or accredited diploma nursing school.
• A minimum of two (2) years clinical experience is preferred.
• Active Unrestricted NJ RN License Required.
• Knowledge proficiency in personal computers and Microsoft Office products.
• Working knowledge of case/care management principles, utilization management, health care contracts, and benefit eligibility requirements.

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

This is a field-based position requiring daily local travel. A valid New Jersey State License and insurance are required.

Why Horizon?

At Horizon, you'll make a direct impact 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. Join us and be part of something meaningful!

Salary Range

$70,500 - $94,395

Benefits

• 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 also provides a comprehensive compensation and benefits package which includes: