Care Manager - Health Outcomes & Coordinated Care

Blue Cross of Idaho; Carmel (IN); On-site; USD 73,000 - 103,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Medical insurance

Dental insurance

Vision insurance

401(k) matching

Life insurance

Disability coverage

Education reimbursement

Employee assistance plan (EAP)

Adoption assistance

Paid family leave

Job summary

Blue Cross of Idaho is seeking a Care Manager to effectively care‑manage members through a collaborative process. This role involves independent work with limited supervision, evaluating health needs, planning and implementing interventions, and coordinating with physicians and the care team to optimize outcomes and costs.

The candidate will conduct comprehensive assessments, develop plans, educate members, and track outcomes while mentoring staff and ensuring continuity across care levels.

Qualifications

• 3 years' relevant experience.
• Associates Degree in Nursing or Bachelor's Degree in Social Work, or equivalent work experience.
• Must hold one of the following: Valid unrestricted Idaho RN License or Idaho Social Worker License.
• Preferred: Masters in Social Work.
• Preferred: Bachelor's Degree in Nursing.

Responsibilities

• Conducts an evaluation of the members' current status including physical, mental, and social determinants of health.
• Identifies, plans, implements, and evaluates appropriate health care interventions in conjunction with the physician treatment plan.
• Collaborates with member, family, healthcare provider and team members to coordinate care and guide members to the most appropriate, cost effective resources.
• Collaborates with members, providers, staff, and stakeholders to assure continuity for members throughout different levels of care they may require.
• Provides education and referrals to appropriate community resources.
• Tracks and reports quantifiable impact, quality of care, and/or quality of life improvements as measured against long and short-term goals.
• Acts as a peer mentor for training new personnel as well as on-going training for staff.
• Conducts quality review of work completed by peers and new hires.
• Performs other duties and responsibilities as assigned.

Education

Associates Degree in Nursing

Bachelor's Degree in Social Work

Job description

Blue Cross of Idaho is seeking a Care Manager to effectively care‑manage members through a collaborative process. This role involves independent work with limited supervision, evaluating health needs, planning and implementing interventions, and coordinating with physicians and the care team to optimize outcomes and costs.

The candidate will conduct comprehensive assessments, develop plans, educate members, and track outcomes while mentoring staff and ensuring continuity across care levels.