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. About the Role This position is accountable for assisting and extending support to the field based Care Managers and RN I. This position also ensures facilitation of health care services within a member centric plan of care, under the direction and supervision of an RN. What You'll Do - Will ensure timely appointments and scheduling. - Assist with implementation and facilitation of services members. - Ensure timely member follow up. Interacts and communicates effectively with the member during telephonic contact. - Encourages member participation and compliance in the program. - Assist with all calls to members. Coordinates the delivery of high quality, cost-effective care based on the members- needs and the managed long term support and services model supported by clinical practice guidelines established by the plan. - Run reports to monitor compliance on scheduled services to ensure timely delivery of services and required follow up. - Utilizes care management process for goal directed member care. - Documents accurately and comprehensively based on the standards of practice and current organization policies. - Provides telephonic assistance for activities specific to the program. What You Bring Education/Experience: - High School Diploma/GED required. - Prefers healthcare industry experience. - Requires a minimum of one (1) year experience in home care, discharge - planning, or case management. Preferably with the elderly frail population. - Prefer a minimum of one (1) year experience in the managed care industry. Knowledge: - Requires knowledge of the standards of practice for coordination of services, and delivery of services. - Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS). Skills and Abilities: - Requires strong organizational skills. - Requires strong oral and written communication skills. - Requires good PC skills, knowledge of working with a Medical Management - system for electronic medical records and the ability to utilize Microsoft - Office applications (Excel, Access, Word, etc.) - Requires good problem solving and conflict resolution skills. - Requires good presentation skills. - Requires ability to work with limited daily supervision. 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: $56,200 - $75,285 ​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. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Description Experienced Pediatric Nurse for remote work; Respond to patient portal questions and specialist faxes and communicate with providers about the content of these. Answer phone calls regarding sickness from parents. Complete some school and camp forms and some specialist referrals. Write some letters of medical necessity. Assess asthma status to decide if an appointment is needed. Have phone calls and text messages with frequent users of the ER to reduce ER usage. This position is Monday through Friday, any time between1 pm - 7 pm, 4-6 hours a day, flexible based on workload and your own family needs. Will provide laptop, will provide a large share-drive document with pre written instructions for the majority of portal questions, as well as Barton Schmitt protocols. Hourly pay rate $25- $42/hr depending on experience. Requirements Must have at least 2 yrs of Pediatric Nursing experience

About Design Shopp Design Shopp is a creative agency with over 18 years of experience delivering high-impact digital solutions. We specialize in web development, marketing, branding, and content production, working with organizations ranging from global enterprises to innovative startups. Our team is intentionally lean—each member plays a meaningful role in shaping outcomes, and curiosity and continuous learning are part of our DNA. The Opportunity We’re looking for a detail-oriented Web Project Coordinator who thrives at the intersection of organization, communication, and digital delivery. You’ll play a key role in keeping website projects on track—bridging clients, designers, and developers to ensure smooth execution from kickoff to launch. This role is ideal for someone with strong web project management fundamentals who enjoys working in a collaborative environment. What You’ll Do Project Coordination & Delivery (Primary Focus) - Coordinate website projects from planning through launch - Manage timelines, tasks, and deliverables across multiple projects - Help in the coordinator of Web projects with Web Project Managers and other team members - Ensure clear communication of requirements, feedback, and updates - Understand projects scope and help keep projects on track with the team - Support with QA processes and launch readiness Collaboration & Process (Ongoing Focus) - Work closely with Project Managers, designers, developers, and marketing team members - Help improve internal workflows and project management processes when needed - Maintain documentation, briefs, and project assets - Contribute to a culture of accountability, clarity, and continuous improvement ---------------- Français ------------------ À propos de Design Shopp Design Shopp est une agence créative forte de plus de 18 ans d’expérience dans la réalisation de solutions numériques à fort impact. Nous sommes spécialisés en développement web, marketing, image de marque (branding) et production de contenu, et collaborons avec des organisations allant de grandes entreprises internationales à des startups innovantes. Notre équipe est volontairement agile — chaque membre joue un rôle clé dans les résultats livrés, et la curiosité ainsi que l’apprentissage continu font partie intégrante de notre ADN. L’opportunité Nous sommes à la recherche d’un(e) coordonnateur(trice) de projets web rigoureux(se), à l’aise à l’intersection de l’organisation, de la communication et de la livraison numérique. Vous jouerez un rôle essentiel pour assurer le bon déroulement des projets web — en faisant le lien entre les clients, les designers et les développeurs afin de garantir une exécution fluide, du démarrage jusqu’à la mise en ligne. Ce poste est idéal pour une personne possédant de solides bases en gestion de projets web et appréciant évoluer dans un environnement collaboratif. Vos responsabilités Coordination et livraison de projets (focus principal) - Coordonner les projets web, de la planification jusqu’à la mise en ligne - Gérer les échéanciers, les tâches et les livrables sur plusieurs projets simultanément - Collaborer à la coordination des projets web avec les chefs de projet et les autres membres de l’équipe - Assurer une communication claire des besoins, des retours et des mises à jour - Comprendre la portée des projets et contribuer à maintenir leur bon déroulement - Participer aux processus d’assurance qualité (QA) et à la préparation des lancements Collaboration et processus (focus continu) - Travailler étroitement avec les chefs de projet, designers, développeurs et membres de l’équipe marketing - Contribuer à l’amélioration des processus internes et des méthodes de gestion de projet - Maintenir à jour la documentation, les briefs et les ressources de projet - Favoriser une culture de responsabilité, de clarté et d’amélioration continue

About Design Shopp Design Shopp is a creative agency with over 18 years of experience delivering high-impact digital solutions. We specialize in web development, marketing, branding, and content production, working with organizations ranging from global enterprises to innovative startups. Our team is intentionally lean—each member plays a meaningful role in shaping outcomes, and curiosity and continuous learning are part of our DNA. The Opportunity We’re looking for a detail-oriented Web Project Coordinator who thrives at the intersection of organization, communication, and digital delivery. You’ll play a key role in keeping website projects on track—bridging clients, designers, and developers to ensure smooth execution from kickoff to launch. This role is ideal for someone with strong web project management fundamentals who enjoys working in a collaborative environment. What You’ll Do Project Coordination & Delivery (Primary Focus) - Coordinate website projects from planning through launch - Manage timelines, tasks, and deliverables across multiple projects - Help in the coordinator of Web projects with Web Project Managers and other team members - Ensure clear communication of requirements, feedback, and updates - Understand projects scope and help keep projects on track with the team - Support with QA processes and launch readiness Collaboration & Process (Ongoing Focus) - Work closely with Project Managers, designers, developers, and marketing team members - Help improve internal workflows and project management processes when needed - Maintain documentation, briefs, and project assets - Contribute to a culture of accountability, clarity, and continuous improvement ---------------- Français ------------------ À propos de Design Shopp Design Shopp est une agence créative forte de plus de 18 ans d’expérience dans la réalisation de solutions numériques à fort impact. Nous sommes spécialisés en développement web, marketing, image de marque (branding) et production de contenu, et collaborons avec des organisations allant de grandes entreprises internationales à des startups innovantes. Notre équipe est volontairement agile — chaque membre joue un rôle clé dans les résultats livrés, et la curiosité ainsi que l’apprentissage continu font partie intégrante de notre ADN. L’opportunité Nous sommes à la recherche d’un(e) coordonnateur(trice) de projets web rigoureux(se), à l’aise à l’intersection de l’organisation, de la communication et de la livraison numérique. Vous jouerez un rôle essentiel pour assurer le bon déroulement des projets web — en faisant le lien entre les clients, les designers et les développeurs afin de garantir une exécution fluide, du démarrage jusqu’à la mise en ligne. Ce poste est idéal pour une personne possédant de solides bases en gestion de projets web et appréciant évoluer dans un environnement collaboratif. Vos responsabilités Coordination et livraison de projets (focus principal) - Coordonner les projets web, de la planification jusqu’à la mise en ligne - Gérer les échéanciers, les tâches et les livrables sur plusieurs projets simultanément - Collaborer à la coordination des projets web avec les chefs de projet et les autres membres de l’équipe - Assurer une communication claire des besoins, des retours et des mises à jour - Comprendre la portée des projets et contribuer à maintenir leur bon déroulement - Participer aux processus d’assurance qualité (QA) et à la préparation des lancements Collaboration et processus (focus continu) - Travailler étroitement avec les chefs de projet, designers, développeurs et membres de l’équipe marketing - Contribuer à l’amélioration des processus internes et des méthodes de gestion de projet - Maintenir à jour la documentation, les briefs et les ressources de projet - Favoriser une culture de responsabilité, de clarté et d’amélioration continue