Behavioral Case Manager RN

1 week ago

Moorhead, Minnesota, United States Blue Cross Blue Shield of North Dakota Full time

All about us

You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously.

We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is eligible for a remote, hybrid or in-office work arrangement. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.

This position is eligible for internal Blue Cross Blue Shield employees and external applications.

Pay information

Pay Level: 023

FLSA Category: Exempt-Salaried

A day in the life

The Behavioral Case Manager is responsible for reviewing cases of members with acute or chronic conditions and collaborates with service providers, the patient and family, and internal resources (e.g. Medical Review) to establish the most effective treatment plan within the provisions of the policy. This position screens, assesses and develops case recommendations, educates patients and family, coordinates with providers and monitors and documents case(s) on an ongoing basis.

Your responsibilities will include

  • Identifies and assesses members with acute or chronic conditions for possible case management (CM) intervention. Develops, coordinates and monitors a plan of care for members with case management needs and educates both member and health care team of services allowed within the benefit plan.
  • Develops a case management plan of care by initiating contact with the member/designated representative and their health care provider team after obtaining case management program consent from the member. Assesses initial and ongoing needs with the member/family, health care team and case manager by completing a thorough assessment of medical records and contact with providers and patient.
  • Collaborates in identifying appropriate alternatives to the present care and providing assistance with identified needs by collaborating with the member and member's health care team.
  • Participates in discharge planning, networking with appropriate outside agencies and making appropriate referrals to alternative resources as needed.
  • Documents case information and practices per CM policy and procedures and in accordance with CM accreditation standards.
  • Verifies member benefit eligibility for alternative care for medical necessity and appropriateness and initiates the request for service.
  • Throughout the case management process, collaborates with internal and external medical, utilization management and customer services teams as needed in the collaboration and coordination of the member's care.

What you need to succeed

  • Associate's degree/completion of an RN program
  • 3 years of clinical or related experience.
  • Some experience in behavioral health.
  • Previous case management experience is highly preferred with a good understanding of a variety of clinical concentrations.
  • Comfortable with calling members and spending time on the phone.
  • Intermediate computer skills with the ability to learn different systems.
  • Strong ability to speak to and work well with members, designated representatives and health care providers.
  • Have a desire to collaborate while also being adaptable and flexible to the needs of our members.
  • Good decision making skills around care and case management.

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Benefits and perks

  • Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
  • Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
  • 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
  • Employee recognition, community initiative events and yearly company outings.
  • Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
  • Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.

Equal opportunity employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email

This job posting will be closed 6/7/2024 at 8:00 a.m. (CT). No further applications will be considered.

Qualifications
Licenses & Certifications Registered Nurse (required)

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)

  • Business Solutions Manager

    5 days ago

    Moorhead, Minnesota, United States Doosan Bobcat North America Full time

    Job Information The (Ecommerce or Strategic) business solutions manager represents the business owner for all system projects related to business solutions. This individual drives the products portfolio by working with internal and external technical, planning and product management teams to deliver business-related solutions and enhancements. Works with...

  • Clinician/Therapist

    1 week ago

    Moorhead, Minnesota, United States Ellie Mental Health - MN Full time

    Job DescriptionJob DescriptionEllie Mental Health has an opening for a new Therapist come and join the herdIf youre not just a clinician, but also a unicorn (either actually or just in your ability to stand out from all the rest in this field), read on and click that Apply buttonWho the heck is Ellie?Ellie Mental Health is a bad @ss, rapidly growing mental...

  • Night Warehouse Manager

    1 week ago

    Moorhead, Minnesota, United States Coca-Cola Bottling Company High Country Full time

    Night Warehouse Manager Moorhead, MN ) Operations Job Type Full-time Description Coca-Cola, with its many brands, has been recognized and enjoyed by people around the world for over a century. Founded in 1956, Coca-Cola Bottling Company High Country is a family owned, regional Bottler serving portions of Colorado, Minnesota, Montana, North Dakota, South...

  • Human Resources Technician 1

    7 days ago

    Moorhead, Minnesota, United States State of Minnesota Full time

    Are you looking for a unique opportunity to serve MSUM with an urgent need to coordinate the new COVID-19 vaccine/testing requirements, COVID-19 case management, and other administrative tasks within the Office of Human Resources? This position's mai Human Resource, Technician, Student, Office

  • Restaurant Server

    1 week ago

    Moorhead, Minnesota, United States Raymond Management Full time

    ** Restaurant Server** **Job Category****:** Restaurant Server **Requisition Number****:** RESTA01880 Showing 1 location **Job Details** **Description** **Who we are:** We have a strong, team-based culture where teammates appreciate and respect each other. Our culture, combined with our quality product and focus on serving guests makes our hotel an...

  • Behavioral Case Manager RN

    4 weeks ago

    Moorhead, United States Blue Cross Blue Shield of North Dakota Full time

    Description All about us You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of...

  • Housing Stability Case Manager

    3 weeks ago

    Moorhead, United States Minnesota Assistance Council for Veterans Full time

    Description: Organization Overview: Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, employment, and legal services to support Veterans and their families throughout Minnesota who are homeless or at risk...

  • Behavior Interventionist

    1 month ago

    Moorhead, United States Moorhead School District 152 Full time

    The behavior interventionist will provide Tier One and Tier Two social, emotional and behavioral support to students needing additional strategies and skills. This position will collaborate with teachers and faculty, employees, and other stakeholders.Education and Experience:Bachelor's degree or higher in a field of human services such as social services,...

  • Behavioral Health Practitioner III

    4 weeks ago

    Moorhead, United States Lutheran Social Service of Minnesota Full time

    Lutheran Social Service of Minnesota is a dynamic social service organization serving children, youth and families, people with disabilities, older adults, and military veterans. Trustworthiness is a value and strength shared by our employees and recognized by the communities we serve. We offer an ALIVE Workplace (Supportive, Positive and Fun) and careers...

  • Behavioral Health Practitioner III

    1 month ago

    Moorhead, United States Lutheran Social Service of Minnesota Full time

    Lutheran Social Service of Minnesota is a dynamic social service organization serving children, youth and families, people with disabilities, older adults, and military veterans. Trustworthiness is a value and strength shared by our employees and recognized by the communities we serve. We offer an ALIVE Workplace (Supportive, Positive and Fun) and careers...

  • Behavioral Health Practitioner III

    2 weeks ago

    Moorhead, United States Lutheran Social Service of Minnesota Full time

    Lutheran Social Service of Minnesota is a dynamic social service organization serving children, youth and families, people with disabilities, older adults, and military veterans. Trustworthiness is a value and strength shared by our employees and recognized by the communities we serve. We offer an ALIVE Workplace (Supportive, Positive and Fun) and careers...

  • Business Solutions Manager

    5 days ago

    Moorhead, United States Doosan Bobcat North America Full time

    Job Information The (Ecommerce or Strategic) business solutions manager represents the business owner for all system projects related to business solutions. This individual drives the products portfolio by working with internal and external technical, planning and product management teams to deliver business-related solutions and enhancements. Works with...

  • Adult Psychologist

    1 month ago

    Moorhead, United States Sanford Health Full time

    **Location** MN, Moorhead **Specialty** Psychology - Adult **Visas Accepted** N/A **Practice Details** Sanford Health is seeking Psychologists who are excited to join a thriving, multi-disciplinary team of professionals that value the unique contributions of each team member in our outpatient Adult Behavioral Health Clinic. Our innovative culture is...

  • Adult Psychologist

    3 weeks ago

    Moorhead, United States Sanford Health Full time

    Location MN, Moorhead Specialty Psychology - Adult Visas Accepted N/A Practice Details Sanford Health is seeking Psychologists who are excited to join a thriving, multi-disciplinary team of professionals that value the unique contributions of each team member in our outpatient Adult Behavioral Health Clinic. Our innovative culture is fueled by a shared...

  • Adult Psychologist

    4 weeks ago

    Moorhead, United States Sanford Health Full time

    Job DescriptionJob DescriptionLocation MN, MoorheadSpecialty Psychology - AdultVisas Accepted N/APractice DetailsSanford Health is seeking Psychologists who are excited to join a thriving, multi-disciplinary team of professionals that value the unique contributions of each team member in our outpatient Adult Behavioral Health Clinic. Our innovative culture...

  • Adult Psychologist

    3 weeks ago

    Moorhead, United States Sanford Health Full time

    Job DescriptionJob DescriptionLocation MN, MoorheadSpecialty Psychology - AdultVisas Accepted N/APractice DetailsSanford Health is seeking Psychologists who are excited to join a thriving, multi-disciplinary team of professionals that value the unique contributions of each team member in our outpatient Adult Behavioral Health Clinic. Our innovative culture...

  • Pharmacy Manager

    2 weeks ago

    Moorhead, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Mental Health Therapist

    1 month ago

    Moorhead, United States Ellie Mental Health - MN Full time

    Job DescriptionJob DescriptionPosition Title: Clinician TherapistDepartment: ClinicalManager: Emily Coler HansonStatus: Full-timeLocation: HybridEllie Mental Health has an opening for a new Therapist come and join the herd!If youre not just a clinician, but also a unicorn (either actually or just in your ability to stand out from all the rest in this field),...

  • Shift Manager

    4 weeks ago

    Moorhead, United States Coborn's Full time

    Company Introduction If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadych's Marketplace Foods, and...

  • Shift Manager

    1 month ago

    Moorhead, United States Coborn's Full time

    Company Introduction If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadych's Marketplace Foods, and...

  • Shift Manager

    3 weeks ago

    Moorhead, United States Coborn's Full time

    Company Introduction If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadych's Marketplace Foods, and...

  • Shift Manager

    1 month ago

    Moorhead, United States Cash Wise Full time

    Company Introduction: If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadychs Marketplace Foods, and...

  • Shift Manager

    3 weeks ago

    Moorhead, United States Cash Wise Full time

    Company Introduction: If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadychs Marketplace Foods, and...

  • Guest Services Manager

    3 weeks ago

    Moorhead, United States Coborn's Full time

    Company Introduction If you're friendly and dependable and you like to work with terrific guests, we'd love to talk about an opportunity on our team! Coborn's, Inc. is a fast-growing employee-owned grocery retailer located in the Midwest. Our grocery store formats include Coborn's, Cash Wise, Marketplace Foods, Hornbacher's, Tadych's Marketplace Foods, and...

  • Clinician/Therapist

    4 weeks ago

    Moorhead, United States Ellie Mental Health - MN Full time

    Job DescriptionJob DescriptionEllie Mental Health has an opening for a new Therapist come and join the herd!If youre not just a clinician, but also a unicorn (either actually or just in your ability to stand out from all the rest in this field), read on and click that Apply button!Who the heck is Ellie?Ellie Mental Health is a bad @ss, rapidly growing mental...