Remote RN Concierge Care Manager

001 BlueCross and BlueShield of South Carolina; South Carolina; Hybrid; USD 58,000 - 110,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Life Insurance

Paid Time Off (PTO)

Education Assistance

National discounts

Job summary

BlueCross BlueShield of South Carolina is hiring an RN Concierge Care Manager for remote work nationwide. The role supports care management for over 2 million members, coordinating programs for high-risk conditions and providing individualized care plans while allowing work from a private home office.

The position requires a nursing license (US or compact) and case management experience; preferred are certifications and advanced degrees. Two evenings per month are required.

Qualifications

• Associate degree in nursing or higher; nursing program graduate or MS in social work/psychology/counseling.
• RN license active in the US or compact multistate license; or social worker/psychologist/counselor licensure.
• Knowledge of quality improvement processes and contract language.
• Ability to work independently, prioritize, and make sound decisions.

Responsibilities

• Direct day-to-day high-touch member management and care coordination.
• Coordinate clinical services with providers, vendors, facilities, social workers and community services.
• Participate in team training and continuing medical education; prepare for external audits and quality assurance.

Skills

Word processing

Quality improvement

Contract language

Independent work

Customer service

Communication skills

Confidential information

Analytical thinking

Education

Associate degree in nursing

Nursing program graduate

Master's degree in social work/psychology/counseling

Tools

Microsoft Office

TMCS

LiveOps

MDDS

BlueVue

Job description

BlueCross BlueShield of South Carolina is hiring an RN Concierge Care Manager for remote work nationwide. The role supports care management for over 2 million members, coordinating programs for high-risk conditions and providing individualized care plans while allowing work from a private home office.

The position requires a nursing license (US or compact) and case management experience; preferred are certifications and advanced degrees. Two evenings per month are required.