Clinical Case Manager

4 hours ago


Montpelier, Vermont, United States BlueCross BlueShield of Vermont Full time
Job Title: Clinical Case Manager

We are seeking a skilled Clinical Case Manager to join our Integrated Health team at Blue Cross and Blue Shield of Vermont. As a Clinical Case Manager, you will play a critical role in helping our members achieve their desired clinical and functional outcomes.

Key Responsibilities:
  • Conduct comprehensive assessments and develop personalized care plans in accordance with professional case management and accreditation standards.
  • Work collaboratively with members, families, and providers throughout the case management process.
  • Support members at all stages of their healthcare journey and across multiple settings and specialty areas.
  • Guide members in accessing services to support their health and wellness goals in accordance with their benefits.
  • Participate in department and organization-wide initiatives to enhance member health and wellness, improve the quality of care, and generate cost-savings for our customers.
Requirements:
  • Graduate of an approved program in professional nursing: RN, VT licensure and ability to apply for Compact License or active multi-state licensure required, BSN desired.
  • OR Licensed Clinical Social Worker (LICSW) in the State of Vermont or comparable degree and licensure in an allied mental health profession.
  • 5 years of varied clinical practice experience required, preferably in a healthcare setting.
  • 1-3 years of case management or similar experience desired.
  • Active CCM certification preferred or initiated within 2 years of hire.
Benefits:
  • Competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, and a commitment to integrated, multi-disciplinary practice. If you are a motivated and compassionate professional with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity.



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