Capital Blue Cross

RN Care Manager

Capital Blue Cross

full-time

Posted on:

Location Type: Remote

Location: Remote • Pennsylvania • 🇺🇸 United States

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Salary

💰 $28 - $53 per year

Job Level

Mid-LevelSenior

About the role

  • Responsible for the coordination of services for members who meet established criteria.
  • Use a collaborative process to assess Member needs and develop a plan of care.
  • Address medical, psychosocial, clinical needs, and behavioral health needs.
  • Build relationships with members and their families for effective care management.
  • Conduct assessments and obtain necessary consent forms for Care Management Program.

Requirements

  • At least three (3) years’ recent/related experience; care management, home health, medical/surgical behavioral health, and/or critical care preferred.
  • Registered Nurse with active licensure in home state; additional state’s licensure as needed/required to meet customer needs.
  • Certified Case Management certification within 2 years of employment.
  • Knowledge of NCQA standards for Population Health Management and clinical principles.
  • Ability to operate a personal computer (PC), including proficiency in Microsoft Office Products.
Benefits
  • Medical, Dental & Vision coverage
  • Retirement Plan
  • Generous time off including Paid Time Off, Holidays, and Volunteer time off
  • Incentive Plan
  • Tuition Reimbursement

Applicant Tracking System Keywords

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

Hard skills
care managementmedical/surgical behavioral healthcritical careclinical principlespopulation health management
Soft skills
collaborationrelationship buildingeffective communication
Certifications
Registered NurseCertified Case Management
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