Case Manager- Remote

BlueCross BlueShield of Minnesota; Eagan (MN); Remote; USD 67,000 - 111,000; Full time

Job summary

A healthcare organization in Minnesota is seeking a Case Manager to provide condition and case management services. Ideal candidates should be Registered Nurses with psychiatric experience or licensed Behavioral Health Professionals. The position requires strong communication and organizational skills, along with a flexible work schedule. Competitive pay ranges from $67,200 to $111,000 annually, along with comprehensive benefits.

Benefits

Medical, dental, and vision insurance

Life insurance

401k

PTO

Volunteer Paid Time Off (VPTO)

Qualifications

• 3 years relevant direct clinical care experience.
• CCM Certification or ability to obtain within 3 years of starting.

Responsibilities

• Conduct comprehensive clinical assessments.
• Collaborate with members and families on care plans.
• Monitor and evaluate plans over time.

Skills

Registered Nurse with Psychiatric experience

Excellent communication skills

Excellent relationship management skills

Excellent organizational skills

Computer application proficiency

Education

High school diploma (or equivalency)

Clinician licensed for independent practice

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

The Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and case management services to members. The position exists to support member needs across the continuum of care by leveraging member partnership, case and disease management processes, skill sets and tools.

Your Responsibilities

• Receives referral and/or reaches-out to member and leverages clinical knowledge, motivational interviewing and behavioral modification techniques.
• Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and opportunities.
• Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes.
• Identifies relevant BCBSMN and community resources and facilitates warm program and network referrals.
• Monitors and evaluates plan of care over time.
• Ensures member data is documented according to BCBSMN application protocol and regulatory standards.
• Maintains outstanding level of service at all points of customer contact.
• Understands broad-based goals of assigned market segment(s) including clinical and service availability.
• Collaborates and coordinates with team members to facilitate day to day functions and enhance the overall operation of the department.
• Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings.

Required Skills and Experience

• Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician licensed for independent practice with one or more of the following licenses with no restrictions:
  • Licensed Marriage and Family Practice (LMFT)
  • Licensed Independent Clinical Social Worker (LICSW)
  • Licensed Psychologist (LP)
  • Licensed Professional Counselor (LPC)
  • Licensed Professional Clinical Counselor (LPCC)
• 3 years relevant direct clinical care experience.
• All relevant experience including work, education, transferable skills, and military experience will be considered.
• CCM Certification or ability to obtain within 3 years of starting in the position.
• Excellent communication skills.
• Excellent conceptual thinking skills.
• Excellent relationship management skills.
• Excellent organizational skills.
• Computer application proficiency.
• Flexibility to work varied hours.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• 1+ years of managed care experience; e.g. case management/health coach, utilization management and/or auditing experience.
• Outstanding telephonic skills.

Compensation and Benefits

Pay Range: $67,200.00 - $89,100.00 - $111,000.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• PTO
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.