Premera Blue Cross

Case Manager, RN

Premera Blue Cross

full-time

Posted on:

Location Type: Remote

Location: Washington • United States

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Salary

💰 $80,200 - $125,600 per year

About the role

  • Engage target members (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support open and constructive dialog on sensitive topics.
  • Conduct initial holistic health assessments that help build an understanding of a member’s specific situation and needs and identify any social determinants of health (SDOH) and cultural influences that may impact potential lifestyle changes.
  • Create a space where a case manager and member can collaborate, along with relevant caregivers and providers, to develop a member-centric case management plan that sets goals, addresses potential barriers, and leads to improved health outcomes.
  • Monitor, evaluate, and update the effectiveness of the member's case management plan to ensure progress toward goals is being made and that current goals remain pertinent.
  • Facilitate communication and coordination among the health care team to maximize delivery of appropriate care.
  • Provide interventions focused on removing barriers, promoting positive behavior change using motivational interviewing techniques, and stabilizing the members’ natural support systems by ensuring that caregiver needs are identified and being met.
  • Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements.

Requirements

  • Active WA State or Compact License in one of the following: Nursing: Current registration as a nurse (e.g., RN, ARNP) Behavioral Health: Valid licensure (e.g., LMFT, LICSW, LMHC) Psychology: Board certification.
  • 3 years' experience with direct patient/clinical care post-licensure.
  • High-speed cable, DSL, or Fiberoptic Internet, no less than 20 Mbps – Satellite and Wireless connections will not work with our equipment.)
  • 1+ years prior experience as a Case Manager.
  • Certified Case Manager (CCM) certification.
  • Chemical Dependency Professional (CDP).
  • Chronic Care Professional certification (CCP).
  • LEAN training.
  • Advanced Motivational Interviewing skills.
Benefits
  • Medical, vision, and dental coverage with low employee premiums.
  • Voluntary benefit offerings, including pet insurance for paw parents.
  • Life and disability insurance.
  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
  • Generous paid time off to reenergize.
  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.
  • For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
  • Commuter perks make your trip to work less impactful on the environment and your wallet.
  • Free convenient on-site parking.
  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.
Applicant Tracking System Keywords

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

Hard Skills & Tools
motivational interviewingcase managementholistic health assessmentssocial determinants of healthbehavior change interventionsdocumentationpatient careclinical care
Soft Skills
relationship buildingcommunicationcollaborationevaluationmonitoringproblem-solving
Certifications
Certified Case Manager (CCM)Chemical Dependency Professional (CDP)Chronic Care Professional (CCP)WA State Nursing LicenseLMFTLICSWLMHCBoard certification in Psychology