Remote Case Manager RN — Integrated Care Impact

Premera Blue Cross; United States; On-site; USD 80,200 - 143,100; Full time

Benefits offered by this job

Paid licensure renewal

CCM exam renewal reimbursement

Motivational interviewing training

CCM/ICM/ CCP certificates support

LEAN training

CMSA membership

Job summary

Premera Blue Cross is hiring a Case Manager to support members through a whole‑person care model in a telecommuter role. You will conduct initial holistic health assessments, identify social determinants of health, and collaborate with caregivers and providers to develop member‑centric care plans that promote healthier outcomes.

The role requires WA state RN or ARNP license, 3 years of direct care, and 1 year of post‑licensure case management.

Qualifications

• Active WA State or Compact RN or ARNP license that allows you to conduct an assessment independently.
• 3 years' post licensure direct care experience.
• 1 year of post-licensure case management experience involving care coordination, care planning, discharge planning, or management of patient care over time

Responsibilities

• Engage members who are facing medical utilization disorders and build a relationship that will support open and constructive dialog on sensitive topics.
• Conduct initial holistic health assessments that help build an understanding of a member’s specific situation and needs and identify any social determinants of health (SDOH) and cultural influences that may impact potential lifestyle changes.
• Create a space where a case manager and member can collaborate, along with relevant caregivers and providers, to develop a member‑centric case management plan that sets goals, addresses potential barriers, and leads to improved health outcomes.
• Monitor, evaluate, and update the effectiveness of the member's case management plan to ensure progress toward goals is being made and that current goals remain pertinent.
• Facilitate communication and coordination among the health care team to maximize delivery of appropriate care.
• Provide interventions focused on removing barriers, promoting positive behavior change using motivational interviewing techniques, and stabilizing the members’ natural support systems by ensuring that caregiver needs are identified and being met.
• Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements.

Skills

RN license

Case management

Holistic assessment

Care coordination

Motivational interviewing

Education

Bachelor’s or Master’s degree

CCM certification (preferred)

Job description

Premera Blue Cross is hiring a Case Manager to support members through a whole‑person care model in a telecommuter role. You will conduct initial holistic health assessments, identify social determinants of health, and collaborate with caregivers and providers to develop member‑centric care plans that promote healthier outcomes.

The role requires WA state RN or ARNP license, 3 years of direct care, and 1 year of post‑licensure case management.