RN Care Manager

🕒 3 days ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $28 - $53 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Capital Blue Cross

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1938

⚕️ Healthcare Insurance

💸 Finance

👥 B2C

Healthcare Insurance • Finance • B2C

Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.

📋 Description

• Responsible for the coordination of services for members who meet established criteria. • Emphasizes education/self-management and promoting quality care and cost-effective outcomes. • Uses a collaborative process to assess Member needs and implement a plan of care. • Coordinates resources, monitors progress, evaluates Member status, and documents the care management process. • Addresses medical, psychosocial, clinical, and behavioral health needs, including mental health and substance use disorder needs. • Provides counseling and referrals to community/local/state programs; collaborates with caregivers, providers, and community resources.

🎯 Requirements

• At least three (3) years’ recent/related experience; care management, home health, medical/surgical behavioral health, and/or critical care preferred. • Health plan experience preferred. • Additional experience related to specialized positions (Oncology, Transplant, Maternity, Behavioral Health) will also be considered. • Experience in health coaching and motivational interviewing techniques 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. • Compact license preferred.

🏖️ Benefits

• Medical, Dental & Vision coverage • Retirement Plan • Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement