
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.
🔥 0 minutes ago
🔔 Pennsylvania – Remote
💵 $63.4k - $119.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💼 Consultant
🦅 H1B Visa Sponsor
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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.
• Responsible for the planning, direction, coordination, execution and evaluation of educational programs supporting clinical staff and functions • Works with clinical leadership, quality, compliance and human resources to ensure the successful creation and implementation of onboarding and training programs for all clinical new hires • Develops and manages the continuing education, training, and professional development initiatives • Responsible for partnering with leadership on workflow development and maintenance for the various teams within the department • Ensures all clinical staff are in compliance with regulations and requirements through comprehensive training strategies and measuring staff understanding • Plans, organizes, evaluates, and maintains orientation/onboarding process for new clinical employees
• Minimum of 5 years of Utilization Management experience in a health plan, managed care organization, or similar setting • Minimum 5 years’ experience in an acute care setting • Minimum of 3 years demonstrated experience in education, training, coaching, or professional development • Registered Nurse with active licensure in PA or Enhanced Nurse Licensure Compact (eNLC) multistate licensure in home state • Bachelor’s degree in Nursing or higher required; bachelor’s degree in business, education, or a health related field accepted • InterQual® certification is strongly preferred or willing to obtain when offered
• Medical, Dental & Vision coverage • Retirement Plan • Generous time off including Paid Time Off, Holidays, and Volunteer time off • Incentive Plan • Tuition Reimbursement • Comprehensive benefits package
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