Direct Clinical Care Manager

Blue Cross and Blue Shield of Massachusetts Inc.; Boston (MA); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Blue Cross Blue Shield of Massachusetts seeks a Nurse Practitioner to engage members in care plans, coordinate services, and educate on resources and benefits within a community-focused health plan.

The candidate must be MA-licensed with 3–5 years of care delivery experience; 10+ years ambulatory care experience is preferred for primary care populations, with strong patient engagement skills.

Qualifications

• Current MA NP license with 3–5 years recent experience in care delivery.
• Ideally 10+ years of ambulatory care experience, preferably as a primary care provider for a patient population.
• Proven abilities in patient engagement and relationship management.

Responsibilities

• Engage members in appropriate plans of care, coordinate care and services, communicate effectively, and provide education and resources.
• Understand BCBSMA products and benefits, as well as regulatory and NCQA requirements.

Skills

Care coordination

Patient engagement

Communication

Cultural competence

Education

Massachusetts NP license

Job description

**The Role****Key Responsibilities**Engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively, and provide members with education and resources as needed.Understand BCBSMA products and benefits, as well as regulatory and NCQA requirements**Key Qualifications**Ability to identify and document member-driven, specific, measurable activities that address actionable behaviors and goalsDemonstration of awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population.**Education and Experience**Currently licensed as an NP in Massachusetts with 3-5 years recent experience in care delivery and willing to continue clinical practice.Ideally 10+ years' experience in ambulatory care, preferably as primary care provider for a population of patients. Proven abilities in patient engagement and relationship management.Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.## **Our Commitment to You**We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.