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This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
RN Case Manager
Location
United States
Posted
33 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
RN Case Manager
Arkansas Blue Cross Blue Shield
Role Description The RN Case Manager plays a critical role in optimizing patient care and resource utilization. The incumbent is responsible for: - Assessing, planning, implementing, coordinating, monitoring, and evaluating comprehensive care plans to meet individual health needs. - Focusing on quality patient outcomes and cost-effective healthcare delivery. - May encompass general medical case management or specialize in high-acuity areas and/or high-cost areas such as: - High-risk obstetrics and neonatal care - Chronic disease management - Mental health support (excludes Behavioral Health) Qualifications - 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. If certification is not obtained prior to employment, must obtain URAC recognized within three (3) years of hire as a RN Case Manager. Acceptable case management certifications include: - Certified Case Manager (CCM) - Accredited Case Manager (ACM) - Registered Nurse - Board Certified (RN-BC) - 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 - Obstetric/neonatal care Requirements - Independence - Detail oriented - Skills: - Administrative Process - Affinite CM - Affinite UM - CCI Edits - Collaborative Communications - Critical Reasoning - Cross-Functional Planning - Customer Relationship Management (CRM) - Customer Service - Workstation - Deductive Reasoning - Five9 - Information Security - Interpersonal Relationship Management - Microsoft Excel - Microsoft Office - Microsoft Outlook - Microsoft PowerPoint - Needs Assessment - Oral Communications - Problem Sensitivity - Researching - Sound Judgment - Support Coordination - Written Communication Responsibilities - Assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual’s health needs through the use of plan benefits and community resources to facilitate appropriate cost effectiveness and cost containment measures. - Practices nursing within the scope of licensure and adheres to policies, procedures, regulations, URAC standards, and individual state regulations. - Provides specialized education and knowledge on disease-specific conditions as needed and assigned. - Remains current with up-to-date medical and surgical procedures, products, healthcare services, and drugs, as well as general trends in healthcare delivery. - Serves as a liaison facilitating a collaborative process which includes patients, families/caregivers, physicians, hospital discharge planners, home care providers, and other ancillary providers. - Works proactively with referrals from multiple sources to identify appropriate candidates for case management, explains services ensuring voluntary agreement of services, and maintains a minimum patient caseload in a timely manner. Certifications - Accredited Case Manager (ACM) - American Case Management Association (ACMA) - Certified Case Manager (CCM) - The Commission for Case Manager Certification (CCMC) - Registered Nurse (RN) - Arkansas State Board of Nursing Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. Employment Type Regular ADA Requirements 2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of the location of primary work assignment as essential functions of the job.
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Renewals Senior Manager
FieldguidePowering the future of trust with modern software for assurance & advisory firms.
About Us Fieldguide is the AI-native platform for audit and advisory — the place where practitioners and agents work together to deliver higher quality work, faster, and with better client outcomes. Over 50 of the top 100 accounting and consulting firms trust Fieldguide to accelerate growth, improve quality, and transform the way audit and advisory work gets done. We're rooted in San Francisco, CA, but built as a remote-friendly, global company. We're backed by top investors including Growth Equity at Goldman Sachs Alternatives, Bessemer Venture Partners, 8VC, Floodgate, and Y Combinator. We value diversity — in backgrounds and in experiences. We need people from all backgrounds and walks of life to help build the future of audit and advisory. Fieldguide's team is inclusive, driven, humble, and supportive. We are deliberate and self-reflective about the kind of team and culture we are building, seeking teammates who are not only strong in their own aptitudes but care deeply about supporting each other's growth. If you share our values and enthusiasm for building a great culture and product, you will find a home at Fieldguide. About the Role Fieldguide is an AI-native platform built for audit, advisory, and assurance workflows. Our customers are sophisticated accounting and advisory firms that operate in highly regulated environments, maintain long-term vendor relationships, and respond to renewal motions that are consultative and value-based. We're growing fast, and retention and expansion are core to the business. Reporting to the VP of Sales, this is a build-and-run role. There's no team to inherit and no playbook to follow. 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What You'll Do Own the Renewal Motion - Manage the full renewal lifecycle for all accounts: outreach, risk triage, negotiation, and close - Maintain a rolling 90-120 day renewal forecast; report weekly on pipeline health, risk, and expected outcomes - Develop a data-driven renewal strategy for each account before entering any negotiation, factoring in customer health, usage trends, stakeholder dynamics, and risk - Lead commercial negotiations directly with customers, including executive-level conversations on multi-year and at-risk accounts - Drive price increases, multi-year structures, and expansion identification at contract renewal - Work closely with CSEs to identify churn signals early and build mitigation strategies - Maintain clean renewal data and pipeline hygiene in HubSpot Build the Renewals Function - Build the renewals playbook from scratch: outreach cadences, escalation frameworks, negotiation guidelines, and segment-specific engagement models - Own the KPI framework for renewals — anchor it in leading indicators like MAU/WAU and consumption pacing, not just trailing metrics like GRR and NRR; establish the reporting cadence with Finance and CS leadership — this role shapes what the function measures - Design tiered engagement models across Strategic, Enterprise, Mid-Market, and SMB customer segments - Partner with Finance on Available-to-Renew (ATR) tracking and integration into the ARR forecast - Implement AI-assisted workflows for health scoring, churn risk flagging, and renewal automation where appropriate - Be the go-to resource on renewals best practices internally, setting the standard for how Fieldguide approaches retention and expansion Drive Cross-Functional Alignment - Represent renewal risk in deal reviews, QBRs, and exec-level revenue conversations - Partner with CSMs on health scores and churn signals — as part of the same team, this is a tight loop, not a handoff - Work with Product to access and interpret usage data (MAU/WAU, entitlement pacing, feature adoption) and translate it into renewal risk signals and customer conversations - Work with Finance on cohort analysis, GRR/NRR attribution, and retention economics - Coordinate with Legal and Deal Desk on non-standard contract structures - Feed customer signals back to Product and GTM leadership: usage trends, objections, competitive pressure, value realization About You - You have 7+ years in SaaS renewals, customer success, or commercial account management, with a track record of personally owning and hitting GRR/NRR targets - You've built a renewals function or motion from scratch — you wrote your own playbooks; you didn't inherit them - You're a strong commercial negotiator, comfortable leading high-stakes conversations at the CFO or executive level - You're analytically fluent: you can build a renewal forecast, segment a book of business by risk, and present cohort-level retention performance to leadership - You're CRM-proficient; HubSpot is strongly preferred, Salesforce is acceptable - You're an effective cross-functional operator who builds credibility through rigor and follow-through, able to influence Sales, Finance, and Legal without direct authority - You're ready to manage a small team; prior people management experience is preferred but not required for the right candidate - You're comfortable in a fast-moving environment where the playbook is still being written Bonus Points - Background in audit, accounting, or professional services, or experience selling to those firms — Fieldguide's customers are sophisticated practitioners, and knowing how they buy, budget, and evaluate software matters - Experience in AI-native SaaS or with AI workflow tools (health scoring, churn prediction, automated renewal triggers) - Experience scaling a renewals function through a Series B or C inflection point More about Fieldguide Fieldguide is a values-based company. Our values are: - Fearless — Inspire & break down seemingly impossible walls - Fast — Launch fast with excellence, iterate to perfection - Loveable — Deliver happiness & 11-star experiences - Owners — Execute and run the business with ownership - Win-win — Create mutual value and earn trust for life - Inclusive — Scale the best ideas with inclusive teams Some of our benefits include: - Competitive compensation packages with meaningful equity ownership - Flexible PTO - Wellness benefits, including a bundle of free therapy sessions - Stock options - Technology and work-from-home reimbursement - Company offsites



