Care Coordinator - Enhanced Case Management

Blue Cross and Blue Shield of Alabama; Birmingham (AL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading insurance company is seeking a Care Coordinator for Enhanced Case Management. This full-time remote position involves developing and administering member management programs, ensuring quality care through effective communication and clinical assessments. Ideal candidates will have a Bachelor’s degree, an active RN license, and at least three years of clinical experience.

Qualifications

• Bachelor’s Degree or actively pursuing one.
• Active, in-good-standing Registered Nurse (RN) license.
• At least three years of clinical experience in medical/surgical, psychiatric, or obstetrical settings.

Responsibilities

• Developing, coordinating, and administering Member Management Programs.
• Individual member assessment and developing treatment plans.
• Coordinating case management activities and evaluating needs.

Skills

Communication

Negotiation

Decision-making

Education

Bachelor’s Degree

Active RN License

Job description

Care Coordinator - Enhanced Case Management

Join to apply for the Care Coordinator - Enhanced Case Management role at Blue Cross and Blue Shield of Alabama.

The Health and Clinical Engagement division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is a critical focus, aiming to provide high-quality benefits and services while controlling healthcare costs.

Primary Responsibilities

This position involves developing, coordinating, and administering Member Management Programs, communicating effectively with all members of the healthcare system and group representatives. Responsibilities include individual member assessment, coordinating case management activities, evaluating needs, and developing treatment plans to ensure quality care.

Qualifications

• Bachelor’s Degree or actively pursuing one
• Active, in-good-standing Registered Nurse (RN) license
• Multi-State RN licensure for practice in Alabama or Alabama RN license, with willingness to pursue additional state licenses
• At least three years of clinical experience in medical/surgical, psychiatric, or obstetrical settings
• Strong communication skills with providers, subscribers, and groups
• Experience in autonomous decision-making and interpreting information
• Flexible schedule and willingness to travel up to 10%
• Negotiation and presentation skills preferred
• Certified Case Manager and experience with complex conditions preferred

Work Location

Full-time remote position.

Terms and Agreements

By applying, you attest that all information provided is true and can be verified. The company values diversity and does not discriminate based on race, religion, gender, or other protected statuses.

Additional Details

Seniority level: Mid-Senior level

Employment type: Full-time

Industry: Insurance