Case Manager

Blue Cross of Idaho Health Service; United States; On-site; USD 73,000 - 103,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Community service days

Self-care days

Medical insurance

Dental insurance

Vision insurance

Pharmacy insurance

401(k) matching

Non-contributory plan

Life insurance

Short-term disability

Long-term disability

Education reimbursement

EAP

Adoption assistance

Paid family leave

Job summary

Blue Cross of Idaho Health Service seeks a Care Manager to assess, plan, implement, monitor and evaluate care needs for members in collaboration with physicians and care teams.

The role requires 3 years of care management experience, an Associates in Nursing or a BSW, or equivalent, and Idaho RN or Social Worker licensure. The position offers a comprehensive benefits package and eligibility for an annual incentive bonus.

Qualifications

• 3 years of relevant care management experience.
• Associates Degree in Nursing or Bachelor's in Social Work (or equivalent).
• Licenses: Idaho RN or Idaho Social Worker (unrestricted).

Responsibilities

• Evaluate members' health status (physical, mental, social determinants).
• Plan, implement, and evaluate care with physician treatment plan.
• Coordinate care with members, families, providers and team members.
• Educate and refer to community resources.
• Track and report quality of care and impact.
• Mentor/training for staff and peers.

Skills

Care management

Healthcare experience

Education

Associates Degree in Nursing

Bachelor's Degree in Social Work

Tools

Idaho RN License

Idaho Social Worker License

Job description

Join Blue Cross of Idaho's growing Healthcare Operations team! In this role, care managers will effectively care-manage members utilizing a collaborative process. Work independently and under limited supervision. Assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs using communication and available resources to promote quality, cost-effective outcomes.

What we are looking for in Care Manager:

• Experience: 3 years' relevant experience
• Education: Associates Degree in Nursing or Bachelor's Degree in Social Work; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

Licenses/Certifications: Must hold one of the following:

• Valid unrestricted Idaho Registered Nurse License
• Valid unrestricted Idaho Social Worker License

Preferred Requirement:

• Masters in Social Work
• Bachelors Degree in Nursing

What your day may look like:

• 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.

As of the date of this posting, a good faith estimate of the current pay range is $73,321 - $102,650. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Applicants must be legally authorized to work in the United States at the time of application and throughout employment. The company does not provide employment-based visa sponsorship for this position

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.