Case Manager, RN

🔥 0 minutes ago

Where this job comes from

Posted on Premera Blue Cross's careers page ↗Premera Blue Cross's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

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Logo of Premera Blue Cross

Premera Blue Cross

1001 - 5000 employees

Founded 1945

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Premera Blue Cross is an independent health insurance provider, serving businesses and residents of Washington State and Alaska as a licensee of the Blue Cross Blue Shield Association. The company offers a range of health plans including individual, family, employer-based, and Medicare Supplement plans. However, it has announced that it will exit the Medicare Advantage market as of January 1, 2025. Premera is committed to advancing health equity and community support, evident through its Social Impact Program focused on behavioral health and homelessness solutions in Washington and Alaska. Additionally, Premera complies with federal and state civil rights laws, offering language assistance services to ensure equitable care.

📋 Description

• Engage members facing medical utilization disorders and build supportive relationships • Conduct holistic health assessments and identify social determinants of health and cultural influences • Collaborate with members, caregivers, and providers to develop member-centric case management plans • Monitor, evaluate, and update case management plans and progress toward goals • Facilitate communication and coordination among the healthcare team • Provide interventions to remove barriers and promote positive behavior change using motivational interviewing • Stabilize members' natural support systems by identifying and addressing caregiver needs • Maintain concise, accurate, and timely documentation meeting accreditation, contractual, and legal requirements

🎯 Requirements

• Active WA State or Compact RN or ARNP license allowing independent assessment • 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 • Individuals residing outside Washington must have or obtain the appropriate Washington State license, applying within 10 days of acceptance • Internet access through any ISP with a minimum download speed of 75 Mbps • Certified Case Manager (CCM) certification preferred; if absent at hire, required 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 preferred • Motivational interviewing experience preferred • Chronic Condition Certifications preferred • Integrated Case Management certificate preferred • Chemical Dependency Professional certification preferred • LEAN training preferred

🏖️ Benefits

• Paid licensure renewal • Reimbursement for CCM exam fees and renewal • Extensive initial and ongoing training, including motivational interviewing skill development • Support in earning Chronic Care Professional (CCP), Integrated Case Manager (ICM), and Certified Case Manager (CCM) credentials • Paid membership in the National Case Management Society of America (CMSA) and local state chapters • Medical, vision, and dental coverage with low employee premiums • Voluntary benefits, including pet insurance • Life and disability insurance • 401(k) employer match • Pension plan vested after 3 years of service • Wellness incentives, counseling services, stress management programs, and mindfulness programs • Generous paid time off • Tuition assistance for undergraduate and graduate degrees • Employee recognition program • Flexible on-campus model for hybrid employees • Commuter perks • Free on-site parking • Subsidized on-campus cafes • On-site health and wellness activities • Fitness and well-being center with in-person and virtual workouts and nutritional counseling

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