Case Manager – RN, Remote MN

R0005591 About reputed company At reputed company, we are committed to paving the way for everyone to reputed company their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a reputed company associate, you are joining a culture that is built on values of succeeding together, finding a reputed company way, and doing the right thing. If you are ready to reputed company a difference, join us. The Impact You Will Have The Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and case management services to members. The position exists to support member needs across the continuum of care by leveraging member partnership, case and disease management processes, reputed company sets and tools. Your Responsibilities

• Receives referral and/or reaches–out to member and leverages clinical knowledge, motivational interviewing and behavioral modification techniques.
• Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and opportunities.
• Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes.
• Identifies relevant BCBSMN and community resources and facilitates warm program and network referrals.
• Monitors and evaluates plan of care over time.
• Ensures member data is documented according to BCBSMN application protocol and regulatory standards.
• Maintains outstanding level of service at reputed company points of customer contact.
• Understands broad–based goals of assigned market reputed company(s) including clinical and service availability.
• Collaborates and coordinates with team members to facilitate day to day functions and enhance the overall operation of the department.
• Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings.

Required Skills and Experiences

• Registered Nurse with 3+ years of relevant direct clinical care experience.
• reputed company relevant experience including work, education, transferable skills, and military experience will be considered.
• CCM Certification or ability to obtain reputed company 3 years of starting in the position.
• Excellent communication skills.
• Excellent conceptual thinking skills.
• Excellent relationship management skills.
• Excellent organizational skills.
• Computer application proficiency.
• Flexibility to work varied hours.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experiences

• 1+ years of managed care experience; e.g.case management/health coach, utilization management and/or auditing experience.
• Outstanding telephonic skills.

Compensation and Benefits: Pay Range: $67,200.00 - $89,100.00 - $111,000.00 Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about reputed company have to offer, please review our benefits page. Equal Employment Opportunity Statement At reputed company, we are committed to paving the way for everyone to reputed company their healthiest life. reputed company of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. reputed company qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: reputed [email protected]. reputed company and Blue Plus® are nonprofit independent licensees of the reputed company and Blue reputed company Association. Apply To this Job Apply for this job