RN Care Management Coordinator

Blue Cross & Blue Shield of Mississippi; Flowood (MS); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive compensation package

Medical benefits

401(k)

Paid time off

Onsite gym

Health-focused workplace

Job summary

Blue Cross & Blue Shield of Mississippi is hiring an RN Care Management Coordinator in Flowood, MS. This role involves clinical assessments, developing care plans, and ensuring personalized patient care. Candidates must hold a nursing degree and unrestricted RN licensure in Mississippi. Preferred experience includes one year in clinical settings and hospital case management. We offer a supportive workplace culture, competitive benefits, and opportunities for career growth.

Qualifications

• Must have RN licensure in Mississippi and a Bachelor’s degree in nursing.
• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint).
• Excellent communication skills to liaise between patients and healthcare providers.

Responsibilities

• Perform clinical assessments to develop Plans of Care.
• Identify members needing referrals for additional services.
• Collaborate with clinical teams on complex member cases.

Skills

Clinical judgement

Strong communication skills

Patient-centered communication

Intermediate proficiency in Microsoft Office

Education

Bachelor’s degree in nursing

RN licensure (unrestricted in Mississippi)

Job description

Overview

Be part of a vision for a healthier Mississippi as an RN Care Management Coordinator.

At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment of a healthy Mississippi.

Blue Cross & Blue Shield of Mississippi is seeking a RN Care Management Coordinator to serve as an essential liaison between patients and healthcare providers to review needs and ensure personalized care plans and provide appropriate coordinating services to improve patient outcomes. Specifically, this clinician works with the provider and members to ensure high quality, patient-centered care.

Responsibilities

• Perform clinical assessments to develop a Plan of Care, oversee discharge planning, provide education, and establish overall coordination of care
• Identify members and those requiring referral to Clinical Pharmacy, Quality Management, or Wellness Coaching to ensure high quality, patient-centered care.
• Collaborate with clinical team on complex member cases to provide consistent care

This critical role requires clinical judgement, approachability and sensitivity to the needs of others with the ability to establish constructive and effective relationships along the way. Assessing complex situations, they navigate all available information to make informed decisions for the optimal level of care for a patient. Most importantly, this Nurse must excel in patient-centered communication demonstrating advocacy for the patients that individualize a comprehensive plan to meet their needs.

Position requirements

• Bachelor’s degree in nursing
• RN licensure that is unrestricted in the state of Mississippi
• Intermediate proficiency utilizing software in the Microsoft Office Suite (Excel, Word, PowerPoint)
• Strong communication skills (oral/written) to serve as the liaison between patients, families and medical staff while actively listening and considering concerns.

Preferred experience

• One year of clinical experience preferred.
• Background in Hospital Case Management preferred.

Why Join Us

• Purpose-Driven Work: Make a meaningful impact on the Health & Wellness of our Members.
• Learning & Development: Build upon clinical knowledge as we coordinate holistic, Member-centered care.
• Career Growth: Clear pathways to grow your career where your skills flourish, including Case Management, Population Health, etc.
• Healthy Culture: Work in an environment with a focus on your health which allows you to thrive. The walking track, onsite gym and café are just a few of the highlights of the campus.
• Compensation & Benefits: We offer a highly competitive compensation package that includes medical benefits, 401(k), ample paid time off and a schedule that supports true work/life balance

How to Apply and the Process

• Set up a Workday account and complete your application process.
• Attach a copy of a resume and cover letter.
• Processes may include phone screen, testing, in-person interview(s), background and drug testing.

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Bring your experience, expertise and dedication to working for our customers.