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Healthcare Management Nurse
3 months ago
Company Overview
At Blue Cross and Blue Shield of Louisiana, we prioritize the well-being of our employees by providing resources that promote health, continuous learning, skill development, and professional growth while serving our communities.
Position Summary
The Care Coordination Nurse plays a vital role in the Population Health and Health Services sector. This position involves a collaborative approach to assess, plan, implement, monitor, and evaluate the healthcare needs of members, providers, and communities.
Key Responsibilities
1. **Assessment**: Conduct thorough evaluations of members' situations to identify healthcare needs and develop comprehensive management plans.
2. **Planning**: Create actionable plans with specific objectives and timelines based on assessment findings.
3. **Implementation**: Execute targeted interventions to achieve established goals.
4. **Coordination**: Organize and integrate necessary resources to fulfill care objectives.
5. **Monitoring**: Collect and analyze data from relevant sources to assess the effectiveness of care plans.
Qualifications
Education: High School Diploma or equivalent is required.
Experience: A minimum of 4 years in direct patient care is essential, along with knowledge of managed care and medical terminology.
Skills: Strong analytical abilities, effective communication skills, and a detail-oriented approach are necessary for success in this role.
Licensure and Certification
Current Louisiana licensure as a Licensed Practical Nurse (LPN) is mandatory. Additional certifications in Disease Management or Health Care Management, as well as Utilization Review or Managed Care, are preferred.
Work Environment
This position is primarily office-based, requiring both standing and sitting. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.
Additional responsibilities may be assigned as needed, within the scope of the role.
