Care Manager I, Specialty Programs

Requires strong organizational skills.

Requires strong oral and written communication skills.

Requires good PC skills and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.)

Requires good problem solving and conflict resolution skills.

Requires a car with valid New Jersey State License and Insurance for certain positions.

$70,500 - $94,395

​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

The Care Manager I – Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations.

Assess member’s clinical need against establish guidelines and/or standards for specialty population-based members.

Implement the delivery of high quality, cost-effective care based on a customized population model of care supported by clinical practice guidelines established by the plan.

Partner with the member/family, physician, and all members of the healthcare team to ensure the member’s needs are met, internal and external to this organization.

Advocate for the member among various sites to coordinate resource utilization.

Utilize the care management process to set priorities, plan, organize, and implement interventions that are goal directed toward self-care outcomes, and the transition to independent status.