Remote RN Case Manager: Care Coordination & Outcomes

Arkansas Blue Cross and Blue Shield; United States; Remote; USD 73.000 - 93.000; Vollzeit

Benefits dieser Stelle

Tuition reimbursement

Club Blue on-site gym

Green Leaf Grill onsite restaurants

Wellness incentives

Zusammenfassung

Arkansas Blue Cross and Blue Shield is seeking an RN Case Manager to optimize patient care and resource use. You will assess, plan, implement, and coordinate comprehensive care plans across settings, focusing on quality outcomes and cost containment.

Requirements include a Bachelor's degree in Nursing, current RN license, and a CCM/ACM/RN-BC certification or URAC plan within 3 years. Experience in case management or related areas is valued for success.

Qualifikationen

• Bachelor's degree in Nursing preferred.
• Active RN license in the state(s) where duties are performed.
• Case management certification required or URAC within 3 years.
• 4+ years clinical practice in case management or related areas.

Aufgaben

• Assess, plan, implement, coordinate, monitor, and evaluate care plans.
• Promote quality patient outcomes and cost-effective care.
• Liaise with patients, families, physicians, and care teams to ensure appropriate services.
• Maintain a minimum patient caseload and ensure compliance with policies.

Kenntnisse

Administrative Process

Affinite CM

Affinite UM

CCI Edits

Collaborative Communications

Critical Reasoning

Cross-Functional Planning

CRM

Customer Service

Deductive Reasoning

Five9

Information Security

Interpersonal Relationship Management

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Needs Assessment

Oral Communications

Problem Sensitivity

Researching

Sound Judgment

Support Coordination

Written Communication

Ausbildung

Bachelor's degree in Nursing

RN license

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

URAC certification plan (within 3 years)

Tools

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Jobbeschreibung

Arkansas Blue Cross and Blue Shield is seeking an RN Case Manager to optimize patient care and resource use. You will assess, plan, implement, and coordinate comprehensive care plans across settings, focusing on quality outcomes and cost containment.

Requirements include a Bachelor's degree in Nursing, current RN license, and a CCM/ACM/RN-BC certification or URAC plan within 3 years. Experience in case management or related areas is valued for success.