Autism Care Manager: Pre-Service & Retrospective

Blue Cross and Blue Shield of Minnesota; Eagan (MN); On-site; USD 44,510 - 73,522; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k

Paid Time Off (PTO)

Job summary

A leading health insurance provider in Minnesota seeks a Care Manager specializing in Autism. This role involves the implementation of utilization management strategies, analysis of healthcare service delivery, and improvement of provider performance. The ideal candidate will have a MN license and a background in nursing or behavioral health, alongside strong analytical skills. A comprehensive benefits package and a full-time position with a mid-senior level responsibility are offered.

Qualifications

• 3 years of related, progressive clinical experience.
• Maintains a thorough understanding of state and federal regulations.
• Able to negotiate issues pertaining to treatment coverage.

Responsibilities

• Implement effective utilization management strategies.
• Analyze qualitative and quantitative data for improving performance.
• Mentors and coaches team members.

Skills

Registered nurse or licensed behavioral health clinician

Demonstrated ability to research and analyze complex issues

Strong organizational skills

Proficient in multiple PC based software applications

Education

High school diploma (or equivalency)

Current MN license

Job description

A leading health insurance provider in Minnesota seeks a Care Manager specializing in Autism. This role involves the implementation of utilization management strategies, analysis of healthcare service delivery, and improvement of provider performance. The ideal candidate will have a MN license and a background in nursing or behavioral health, alongside strong analytical skills. A comprehensive benefits package and a full-time position with a mid-senior level responsibility are offered.