RN Case Manager, Bilingual (English/Spanish)

Job not on LinkedIn

🕒 July 24

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 17%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Arkansas Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1948

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

📋 Description

• The RN Case Manager plays a critical role in optimizing patient care and resource utilization. • Responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating comprehensive care plans to meet individual health needs. • Focuses on quality patient outcomes and cost-effective healthcare delivery. • Practices nursing within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations and makes decisions based on facts and evidence to ensure compliance, appropriate level of care, and patient safety. • Serves as a liaison facilitating a collaborative process including patients, families/caregivers, physicians, hospital discharger planners, home care providers and other ancillary providers.

🎯 Requirements

• Bachelor's degree in Nursing preferred. • Registered Nurse (RN) with current active state license in good standing in the state(s) where job duties are performed required. • Case management certification required. • Minimum four (4) years' clinical practice experience in at least one of the following areas: case management, home health, critical care, medical/surgical, discharge planning, concurrent review, or obstetric/neonatal care.

🏖️ Benefits

• Tuition reimbursement. • Club Blue, a free, onsite gym to encourage exercise. • Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating. • Incentives for wellness education and exercise