Population Health RN: Care Coordination & Case Management

Bcbsla; Bastrop (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

BCBSLA in Louisiana is seeking a Nurse Case Manager to coordinate care for high-risk members, manage acute and chronic conditions, and improve health and financial outcomes. You will assess needs, design interventions, and collaborate with physicians, payors, and community resources to ensure quality, cost-effective care.

The role requires an active RN license in Louisiana with multi-state preference and 3 years of direct patient care experience; relocation or residency in Louisiana is

Qualifications

• 3 years of direct patient care/clinical experience.
• 2 years in managed care preferred.
• Experience with behavioral interviewing techniques preferred.

Responsibilities

• Assess member status and develop a comprehensive care plan.
• Coordinate with providers, payors, and resources to meet goals.
• Implement and evaluate case management activities and interventions.
• Act as advocate, maintain privacy, and support informed decisions.
• Collaborate to authorize services per guidelines and evidence-based practices.
• Meet quality targets and participate in program evaluation.

Skills

Prioritization

Independent work

Care planning

Contract analysis

Medical terminology

Interpersonal skills

Telephonic communication

Office software

Education

Nursing diploma

Associate degree in nursing

Bachelor of Science in Nursing

Job description

BCBSLA in Louisiana is seeking a Nurse Case Manager to coordinate care for high-risk members, manage acute and chronic conditions, and improve health and financial outcomes. You will assess needs, design interventions, and collaborate with physicians, payors, and community resources to ensure quality, cost-effective care.

The role requires an active RN license in Louisiana with multi-state preference and 3 years of direct patient care experience; relocation or residency in Louisiana is