Case Manager

Blue Cross NC

full-time

Posted on: 1/27/2026

Location Type: Remote

✨ AI Apply

💰 $73,698 - $117,917 per year

About the role

Coordinate appropriate care, resources and/or services of selected member populations
Provide guidance and promote effective utilization and monitoring of health care resources
Collaborate with varied members of the healthcare team to achieve optimal clinical and/or resource outcomes
Develop a member-centric plan tailored to members’ needs, health status, educational status and level of support needs
Perform ongoing monitoring and management of member which may include scheduled follow-up
Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes
May outreach directly to members identified as high risk, high cost, or high utilization cases

RN, RD or LCSW with 3 years of clinical and/or case management experience required
For some roles a Master's in Social Work with 5 years of related experience may be considered
For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience
Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties
For some roles, additional specialty certification (i.e. CCM, CDCES) may be required. If so, incumbents must obtain relevant certification within 2 years of employment.

Benefits

📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

clinical experiencecase managementmember-centric planninghealth care resource utilizationmonitoring and managementpro-active intervention

Soft Skills

collaborationguidanceeducationcommunication

Certifications

RNRDLCSWMaster's in Social WorkCCMCDCES