Case Manager, RN

🕒 vor 14 Tagen

☕ Washington – Remote

☕ Washington – Remote

💵 $80.200 - $125.600 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Premera Blue Cross

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 1945

🏥 Gesundheitswesen

🛡️ Versicherung

⚕️ Krankenversicherung

Healthcare • Insurance • Healthcare Insurance

Premera Blue Cross ist ein unabhängiger Krankenversicherungsanbieter, der als Lizenznehmer der Blue Cross Blue Shield Association Unternehmen und Einwohner des Bundesstaates Washington und Alaska betreut. Das Unternehmen bietet eine Reihe von Gesundheitsplänen an, einschließlich individueller, familien- und arbeitgeberbasierter sowie Medicare-Ergänzungspläne. Es wurde jedoch angekündigt, dass es zum 1. Januar 2025 den Medicare Advantage-Markt verlassen wird. Premera setzt sich für die Förderung von Gesundheit und Chancengleichheit sowie für die Unterstützung der Gemeinschaft ein, was durch das Sozialprogramm evident wird, das sich auf Verhaltensgesundheit und Lösungen für Obdachlosigkeit in Washington und Alaska konzentriert. Darüber hinaus entspricht Premera den bundesstaatlichen und staatlichen Bürgerrechtsgesetzen und bietet Sprachunterstützungsdienste, um eine gerechte Versorgung zu gewährleisten.

Beschreibung

• Engage members who are facing medical 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.

🎯 Anforderungen

• Active WA State or Compact RN or ARNP license that allows you to conduct an assessment independently. • 3 years' post licensure direct care experience. • 1 year of post-licensure case management experience involving care coordination, care planning, discharge planning, or management of patient care over time. • Certified Case Manager (CCM) certification preferred. • If applicants do not have their CCM certification at hire, then they are required to obtain within 24 months of hire. • Bachelor’s or Master’s degree preferred. • 4 or more years direct care experience across multiple patient populations, conditions, or care settings. • Motivational interviewing experience. • Chronic Condition Certifications (Asthma, Cardiology, Diabetes, High Risk Maternity, Oncology, Pediatrics). • Integrated Case Management certificate (ICM) preferred. • Chemical Dependency Professional (CDP) certification preferred. • LEAN training preferred. • Individuals residing outside Washington must have or obtain the appropriate Washington State license (apply within 10 days of acceptance). • Internet access through any Internet Service Provider (ISP) with a minimum connection speed of 75 Mbps (megabits per second) download speed.

🏖️ Vorteile

• 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. • Tuition assistance for both undergraduate and graduate degrees. • Employee recognition program to celebrate anniversaries, team accomplishments, and more. • 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. • Engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. • Complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.