Bilingual Registered Nurse for Florida Blue Center

1 week ago


Clermont, Florida, United States Blue Cross and Blue Shield Association Full time
Bilingual Registered Nurse for Florida Blue Center

About Us

Florida Blue, a part of the GuideWell family, has been a trusted provider of health insurance in Florida for over 75 years.

Our mission is to empower individuals and communities to achieve optimal health, serving over five million members statewide.


We seek talented individuals who are dedicated to our mission and prioritize member satisfaction.

We are looking for friendly, sales-oriented professionals who are passionate about guiding others in their healthcare journeys.

Benefits Overview


We offer a comprehensive compensation package that includes competitive salary, health benefits, 401(k), and programs that promote work-life balance, flexible schedules, and career advancement opportunities.

Our benefits are designed to support your well-being, enabling you to excel both professionally and personally.

Your Responsibilities:
Are you enthusiastic about helping others improve their health? Join our dynamic Direct-to-Consumer team.

Your role will focus on leveraging your expertise to assist members in making informed health decisions.

In this position, you will actively manage the experiences of prospective customers and members within a Florida Blue Center, assessing their needs, educating them on available benefit plans, costs, and resources, and making appropriate referrals to Florida Blue programs.


Sources of contacts and referrals may include member self-service, Care Managers, the member contact center, and various community outreach initiatives.

You will also conduct health education sessions and Personal Health Assessments, providing valuable insights to members on achieving better health outcomes.

Key Information:

  • This position is based at our Florida Blue Center.

Operational Hours:
Monday - Friday 9:00 a.m. - 7:00 p.m. Saturday 9:00 a.m. - 4:00 p.m.

The essential functions of this role include:

  • Conducting Personal Health Assessments and interpreting biometric results
  • Addressing member care gaps through accurate documentation
  • Delivering health education sessions
  • Assessing prospective customer and member needs to ensure effective service delivery
  • Collaborating with teams to enhance Enterprise STARS ratings through targeted initiatives
  • Engaging in outreach campaigns for various member groups
  • Educating members on benefit plan options and implications
  • Resolving access to care issues and facilitating problem-solving
  • Connecting members with community resources
  • Guiding members through benefits structure and care alternatives
  • Providing referrals to corporate programs
  • Coordinating personalized care plans for members
  • Hosting virtual customer appointments
  • Educating members on digital health platforms

Qualifications:

Experience:

  • Minimum of 1 year of nursing experience
  • Bilingual in Spanish and English
  • Understanding of benefit plans
  • Flexibility to work varied hours, including evenings
  • Knowledge of the healthcare continuum
  • Experience with automated medical systems
  • Health coaching experience

Licenses and Certifications:

  • Active RN license in Florida or Compact State Licensure
  • Certified Health Coach within 180 days
  • BCLS - Basic Life Support CPR Certification upon hire

Education:

  • Bachelor's degree in a related field, preferably Social Work

Preferred Qualifications:

  • 3+ years of experience in managed care, case management, or clinical nursing
  • Sales experience
  • Knowledge of provider contracting and reimbursement
  • Familiarity with member tools and care management programs
  • Understanding of community resources


Joining the GuideWell family means contributing to our mission of improving health outcomes for individuals and communities.


Physical Demands:

Sedentary Work:
Exerting up to 10 pounds of force occasionally to move objects. Jobs are considered sedentary if walking or standing is required only occasionally.


We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to fostering a diverse and inclusive workplace.


What We Offer:


As a Florida Blue employee, you will thrive in a culture that values well-being and teamwork, essential for serving our members and communities effectively.

Our comprehensive benefits include:

  • Medical, dental, vision, life, and global travel health insurance.
  • Income protection benefits, including life insurance and disability programs.
  • Leave programs to accommodate personal needs.
  • Retirement Savings Plan with employer contributions.
  • Paid time off, volunteer time off, and holidays.
  • Additional voluntary benefits and wellness programs.
Employee benefits comply with federal and state laws and may vary based on employment status.

We offer competitive pay and opportunities for performance-based compensation, with regular reviews to recognize your contributions.
Salary Range:
Competitive and commensurate with experience and market standards.

We are an Equal Opportunity/Protected Veteran/Disabled Employer dedicated to promoting a diverse and equitable workplace.

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