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Premera Blue Cross logo
Premera Blue Cross

Improve customers' lives by making healthcare work better.

Case Manager, RN

ManagerManagerFull TimeRemoteLeadTeam 1,001-5,000Since 1945H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

28 days ago

Salary

$80.2K - $143.1K / year

Seniority

Lead

No structured requirement data.

Job Description

Case Manager, RN

Premera Blue Cross

Role Description Join Our Team: Do Meaningful Work and Improve People’s Lives. Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Case Managers are a dedicated team of clinicians (RNs, behavioral health professionals, and dieticians) who utilize a holistic model that enables our members to transition towards healthier lifestyles. Who we serve: - Premera Blue Cross, a nationally recognized leader in the practice of integrated case management, is looking to expand our growing team of Case Managers. - Our comprehensive, whole-person health assessment helps to identify member actionable barriers and develop obtainable goals that will eventually lead to self-care. - Case managers employ an integrated case management approach that recognizes making lifestyle changes is not simple and meets members where they are. - We monitor progress toward goals and facilitate the coordination of providers as needed. - Our market-differentiated approach has helped thousands of members make meaningful improvements to their daily habits, health, and overall well-being. What you will get in this role: - The opportunity to help members in a meaningful and impactful way. - The opportunity to learn and grow. - The opportunity to have an impact. - The opportunity to thrive in a career. - The opportunity to take pride. What you will do: - Engage target members (those who are facing medical, mental health and/or substance 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. Qualifications - Active WA State or Compact License in one of the following: - Nursing: Current registration as a nurse (e.g., RN, ARNP) - Behavioral Health: Valid licensure (e.g., LMFT, LICSW, LMHC) - Psychology: Board certification - 3 years' experience with direct patient/clinical care post-licensure. - High-speed cable, DSL, or Fiberoptic Internet, no less than 75 Mbps Requirements - 1+ years prior experience as a Case Manager (preferred) - Certified Case Manager (CCM) certification (preferred) - Chemical Dependency Professional (CDP) (preferred) - Chronic Care Professional certification (CCP) (preferred) - LEAN training (preferred) - Advanced Motivational Interviewing skills (preferred) Benefits - 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 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. - Generous paid time off to reenergize. - Tuition assistance for both undergraduate and graduate degrees. - Employee recognition program to celebrate anniversaries, team accomplishments, and more. - Commuter perks and free convenient on-site parking. - Subsidized on-campus cafes. - Engaging on-site activities such as health and wellness events. - Complementary fitness & well-being center offering both in-person and virtual workouts.

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