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MLTSS Care Specialist, Field Based; Cumberland

Job in Hopewell, Mercer County, New Jersey, 08525, USA
Listing for: Horizon Blue Cross Blue Shield of New Jersey
Full Time position
Listed on 2026-02-08
Job specializations:
  • Healthcare
    Community Health, Health Promotion
Salary/Wage Range or Industry Benchmark: 94395 USD Yearly USD 94395.00 YEAR
Job Description & How to Apply Below
Position: MLTSS Care Specialist, Field Based (Cumberland County)
Location: Hopewell

Overview

Employer Industry: Health Insurance

Why consider this job opportunity
  • Salary up to $94,395
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Generous PTO and incentive plans
  • Opportunities for career advancement and growth within the organization
  • Paid Volunteer Time Off and Tuition Reimbursement
  • Supportive and inclusive work environment
What to Expect (Job Responsibilities)
  • Assist with the implementation and facilitation of services to members in the program
  • Collaborate with members/families, physicians, and the healthcare team to coordinate care
  • Advocate for members/families to ensure resource utilization and evaluation of services
  • Document care accurately and comprehensively based on standards of practice
  • Provide field-based and/or telephonic case management activities specific to the program
What is Required (Qualifications)
  • Bachelor’s degree in a health-related or behavioral science field
  • Minimum of three (3) to four (4) years of broad clinical experience
  • Minimum of three (3) years of experience in home care, discharge planning, or case management
  • Minimum of two (2) years of experience in the managed care industry
  • Active Unrestricted NJ SW License preferred; restricted licenses will not be considered
How to Stand Out (Preferred Qualifications)
  • Experience with the elderly frail population
  • Strong knowledge of managed care principles and concepts
  • Good presentation skills and the ability to work with limited daily supervision

#Health Insurance #Case Management #Career Opportunity #Competitive Pay #Health Benefits

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