Remote RN Care Coordinator - Case Management

Blue Cross Blue Shield of Alabama; Birmingham (AL); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Remote work

Up to 10% travel

Job summary

Blue Cross Blue Shield of Alabama is seeking a Registered Nurse Case Manager for a full-time remote role. You will develop, coordinate, and administer member management programs, coordinating case activity and maximizing contract benefits through assessment and planning.

The ideal candidate has an RN license (multistate or Alabama), at least three years of clinical experience in relevant areas, and strong communication and autonomous decision-making abilities. Travel up to 10% may be required.

Qualifications

• Bachelor's degree or actively pursuing one.
• Active RN license in good standing.
• Multistate RN licensure or Alabama RN licensure; plan to obtain licenses in other states as applicable.
• Willingness to attain Case Management certification within 2 years of hire.
• Minimum of three years of clinical experience in medical/surgical, psychiatric, or obstetrical settings.
• Excellent verbal and written communication with providers, subscribers and group representatives.
• Ability to analyze clinical situations and make autonomous decisions.
• Experience communicating information to staff at all levels.

Responsibilities

• Develop, coordinate, and administer all activities related to Member Management Programs.
• Communicate effectively with members and group representatives within the care delivery system.
• Coordinate case activity and maximize member benefits by evaluating needs and proposing alternative plans of care.

Skills

Verbal and written communication

Independent decision-making

Clinical assessment and case mgmt

Negotiation skills

Travel up to 10%

Education

Bachelor's Degree or pursuing

Registered Nurse (RN) license

Multistate RN licensure or Alabama RN licensure

Job description

Blue Cross Blue Shield of Alabama is seeking a Registered Nurse Case Manager for a full-time remote role. You will develop, coordinate, and administer member management programs, coordinating case activity and maximizing contract benefits through assessment and planning.

The ideal candidate has an RN license (multistate or Alabama), at least three years of clinical experience in relevant areas, and strong communication and autonomous decision-making abilities. Travel up to 10% may be required.