Remote RN Case Manager – Care Coordination

Arkansas Blue Cross Blue Shield; Arkansas; Remote; USD 73,000 - 93,000; Full time

Job summary

Arkansas Blue Cross Blue Shield is seeking an RN Case Manager to assess, plan, implement, coordinate, monitor, and evaluate individualized care plans. The role emphasizes quality outcomes and cost-effective care, with potential focus areas such as obstetrics, neonatal care, chronic disease management, and mental health support.

The position requires a nursing license in good standing, a case management certification or URAC recognition within 3 years, and at least four years of relevant clinical

Qualifications

• RN license in good standing is required in the state(s) of practice.
• Minimum four years of clinical practice in case management or related fields.
• Active case management certification or URAC-recognized within 3 years.

Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate care plans.
• Utilize plan benefits and community resources for cost effectiveness.
• Ensure compliance with URAC standards and state regulations.
• Provide disease-specific education and current clinical knowledge.
• Collaborate with patients, families, physicians, and discharge planners.

Skills

Independence

Detail oriented

Critical Reasoning

Interpersonal Relationship Management

Oral Communications

Written Communications

Problem Sensitivity

Sound Judgment

Cross-Functional Planning

Collaborative Communications

Needs Assessment

Education

Bachelor's degree in Nursing

RN licensure in state of practice

Case management certification (CCM/ACM/RN-BC)

Tools

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Five9

CRM

Job description

Arkansas Blue Cross Blue Shield is seeking an RN Case Manager to assess, plan, implement, coordinate, monitor, and evaluate individualized care plans. The role emphasizes quality outcomes and cost-effective care, with potential focus areas such as obstetrics, neonatal care, chronic disease management, and mental health support.

The position requires a nursing license in good standing, a case management certification or URAC recognition within 3 years, and at least four years of relevant clinical