Blue Cross and Blue Shield of Louisiana

General

• Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at risk for health deterioration, sentinel events, and/or poor outcomes
• Manage acute and chronically ill members to improve health and financial outcomes through analysis of needs, design, and delivery of interventions
• Utilize a collaborative process to assess, plan, implement, monitor, and evaluate options and services required to meet the member’s healthcare needs
• Through communication, the nurse will identify available resources to promote quality, cost effective outcomes
• Accountable for complying with all laws, regulations and accreditation standards that are associated with duties and responsibilities
• Develop and implement a plan by determining specific objectives, goals, and actions as identified through the assessment in action oriented and time specific indicators.
• The case manager will act as an advocate for the member/family, maintaining privacy, confidentiality and safety, building relationships with all relevant parties, supporting informed decision making and facilitating access to necessary and appropriate healthcare services across the continuum of care.
• Implement a comprehensive case management plan
• Implement specific case management activities and/or interventions and evaluate effectiveness that will lead to accomplishing the goals established in the case management plan.
• Coordinate by collaborating with the member/family, providers, third party payors, employers and community resources in order to organize, integrate, and modify the resources necessary to accomplish the goals.
• Interacts with patients and/or providers in order to determine patient care needs, compliance and effectiveness with planned interventions and conduct case conferences as appropriate.
• Evaluates the case management plan’s effectiveness in reaching desired outcomes and goals.
• Modifies any or all of the case management plan’s components if necessary.
• Responsible for meeting individual quality performance standards and annual targets for program performance, such as monthly productivity and annual caseload requirements, as mutually agreed to by management team to maximize program value.

Population Health RN – Part-Time

Support Engineer

• Design, execute, and mature enterprise legal hold and information governance capabilities.
• Support the full legal hold lifecycle, maintain partnerships with relevant departments.
• Ensure defensible preservation, retention, and disposition practices across the organization.

Information Governance – Litigation Support Analyst, Senior

Full-stack Engineer

• Design, develop, document, test, and debug software systems and applications
• Service as technical expert on development projects
• Participate in full development life cycle including requirements analysis and design
• Support, maintain, and document software functionality
• Identify and evaluate new technologies for implementation

Population Health RN – Part-Time

Information Governance – Litigation Support Analyst, Senior

Senior Software Engineer