Concierge Care Manager

BlueCross BlueShield of South Carolina; Oregon (IL); Remote; USD 59,000 - 114,000; Full time

Job summary

An established industry player is seeking a dedicated Concierge Care Manager to provide high-touch case management services to members across the nation. This fully remote position allows you to work from home while making a significant impact on the lives of those with chronic or complex health conditions. You will manage member care, coordinate with healthcare providers, and ensure quality service delivery. Join a company that values community involvement and offers a comprehensive benefits package, career growth opportunities, and a commitment to diversity and inclusion.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401k

Life Insurance

PTO

Education Assistance

Discounts

Qualifications

• 5+ years RN case management experience or 2+ years in a health insurance environment.
• Active, unrestricted RN license or equivalent in the state of hire.

Responsibilities

• Manage day-to-day member care, including treatment plans and benefit coordination.
• Coordinate with external clinical services and community resources.

Skills

Case Management

Communication Skills

Proficiency in MS Office

Quality Improvement

Education

Associate's Degree in Nursing

Master's in Social Work, Psychology, or Counseling

Bachelor's in Health-Related Field

Job description

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Time left to apply: End Date: May 31, 2025 (20 days left to apply)

Job requisition ID: R1043329

Summary

We are currently hiring for a Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role, you will provide care management services to over 2 million members in South Carolina and nationally. Your responsibilities will include administering complex, high-touch concierge case management, identifying risks, and facilitating healthcare service coordination to improve quality of life and care satisfaction. The position is remote, working from home, primarily via phone and messaging system, serving members with chronic or high-risk conditions.

Why Join Us

Join a company with over 70 years of community roots, the largest insurance provider in South Carolina, and a diverse subsidiary family. We offer career growth opportunities, a comprehensive benefits package, and a commitment to diversity and inclusion.

Position Description

Logistics: About Us | BlueCross BlueShield of South Carolina

Location: Fully remote, 40 hours/week, Monday-Friday. Must have high-speed internet and a private home office.

What You’ll Do:

• Manage day-to-day member care, including treatment plans and benefit coordination for high-risk or complex cases.
• Coordinate with external clinical services, providers, and community resources.
• Participate in team training and quality assurance activities.

Qualifications:

• Associate’s degree in nursing or equivalent; Master's in Social Work, Psychology, or Counseling for Div 75 and 6B.
• 5+ years RN case management experience or 2+ years in a health insurance environment.
• Proficiency in MS Office, knowledge of quality improvement, and ability to work independently.
• Active, unrestricted RN license or equivalent in the state of hire; Case Management certification within 2 years.

Preferred Qualifications:

• Bachelor's in health-related field.
• Experience in case management, especially in specialized areas.
• Additional certifications like BLS or ACLS.

Benefits

Includes health, dental, vision, 401k, life insurance, PTO, education assistance, and discounts.

Next Steps & Compensation

Application review, potential interview, salary range: $59,718 - $113,884, dependent on experience and location.

EEO & Accommodations

We promote equal employment opportunities, provide accommodations, and participate in E-Verify. Contact us for assistance or accommodations.

About Us & Join Us

Learn about our history, community involvement, veteran support, and apply to join our team to be part of a secure, innovative, and diverse company.