RN Care Coordinator

6 days ago


Birmingham, Alabama, United States Blue Cross Blue Shield of Alabama Full time
Job Summary

We are seeking a highly skilled RN Care Coordinator to join our team at Blue Cross Blue Shield of Alabama. As a key member of our care management team, you will play a critical role in ensuring the effective and efficient delivery of care to our members.

Key Responsibilities
  • Perform care management for eligible individuals assigned by the State of Alabama Medicaid Office
  • Develop and implement sound care plans to improve the overall health of our members
  • Provide face-to-face meetings with members to gain a full understanding of their challenges
  • Work closely with medical providers and community resource agencies to ensure seamless care transitions
  • Travel to the East region of the Alabama Coordinated Health Network (ACHN) to support members in their local area
Requirements
  • Bachelor of Science in Nursing or Associate Degree or Diploma in Nursing
  • Active Alabama license in good standing as a Registered Nurse (RN)
  • Experience analyzing clinical situations and making informed decisions
  • Experience in a position demonstrating exceptional written, verbal, and interpersonal communications
  • Experience in a position exercising independent judgment and decision-making
  • Willingness to travel as required for the job
Preferred Qualifications
  • Two years of complex pediatric experience
  • Experience working in a behavioral health hospital or residential facility
  • Experience working in a home setting as a Case Manager or Care Coordinator
  • Knowledge of Alabama Medicaid regulations and guidelines

We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen.


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