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RN Case Manager
2 months ago
We're a leading health care provider with 2.5 million members, committed to reinventing health care to improve health for our members and the community.
Job SummaryWe're seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will research and analyze member health needs and healthcare cost drivers, working closely with an interdisciplinary care team to ensure members have an effective plan of care that leads to optimal, cost-effective outcomes.
Key Responsibilities- Conduct clinical assessments with members and providers, utilizing motivational interviewing to gather, analyze, and prioritize member needs and opportunities.
- Collaborate with the interdisciplinary care team to develop a comprehensive plan of care that produces positive clinical results and promotes high-quality, cost-effective outcomes.
- Identify relevant BCBSMN and community resources, facilitating program and network referrals.
- Monitor, evaluate, and update plan of care over time, ensuring member data is documented according to BCBSMN application protocol and regulatory standards.
- Maintain an outstanding level of service at all points of customer contact.
- Registered nurse with current MN license and no restrictions.
- 5 years relevant clinical care experience.
- CCM Certificate or ability to obtain within 3 years of starting in the position.
- Excellent telephonic skills, keen business skills, and excellent communication skills.
- 2+ years of managed care experience, including case management/health coach, utilization management, and/or auditing experience.
- Cultural competency and experience working across races and cultures.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
