Horizon Blue Cross Blue Shield of New Jersey · 1 day ago
Self-Direction PPP Support Counselor (Cumberland County)
Hopewell, NJ - Mobile
Full-time
Onsite
Mid Level
$63K/yr - $84K/yr
3+ years expHorizon Blue Cross Blue Shield of New Jersey is a leader in health solutions for over 90 years, dedicated to improving healthcare quality and member experience. The Self-Direction PPP Support Counselor will conduct evaluations for members in the Personal Preference Program, assisting with budgeting and cash management plans to meet their daily needs.
Health Care
Responsibilities
Work with member to develop a cash management plan that is member specific, member choice and member centric; enabling the member to use their budget to meet their daily needs
Review monthly cash expenditures to ensure the member is within monthly budget allowance
Review monthly budget on a quarterly basis and update, as needed
Develop and review member’s back-up plan on a quarterly basis
Review worker timecards to analyze PTO submissions, EVV compliance and hours of work
Update and maintain member’s electronic medical record
Identify, report, and follow up on allegations or reports of suspected fraud, waste, neglect, or abuse
Identify and maintain available community resources and other services
Maintain timely documentation: in-home visits note must be completed during the time of visit and uploaded on the day of the participants’ visit
Educate members on notification requirements for changes in condition, hospitalizations or caregiver issues. Provide education on safety tips including but not limited to fall risk prevention
Provide clear and consistent communication
Perform other relevant tasks as assigned by management
Qualification
Required
High School Diploma/GED required
Minimum of 3 years' experience in a health insurance industry or professional business related field required
Demonstrate strong analytical skills with emphasis on forecasting
Ability and willingness to learn new software applications
Skills in problem solving, judgment, critical thinking and decision making
Ability to be highly organized with an emphasis on accuracy and timeliness
Ability to organize information and have attention to detail and accurately follow procedures
Ability to work alone with minimum supervision and with others in a team environment, occasionally under time pressure and on several tasks at the same time
Ability to visit a diverse population of participants in their homes, which may encompass a wide range of home settings
Ability to assume an increased home visit schedule (i.e., greater than 60% of working hours) as dictated by business needs
Ability to organize home visit caseload to ensure efficient use of driving time
Preferred
LPN or healthcare background preferred
Equivalent and relevant professional experience in budgeting or finance preferred but not required
Experience with MS Office and other WFM solutions highly preferred
Knowledge of Healthcare industry helpful
Team player, strong analytical and interpersonal skills
Proficient in MS Word, MS Excel and MS PowerPoint
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Company
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary St. Hilaire
President & Chief Executive Officer
Recent News
2026-01-06
2025-12-29
2025-12-25
Company data provided by crunchbase