RN Manager, Case Management & Utilization Leadership

bcbsma; Hingham (MA); On-site; USD 105,000 - 128,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

401(k)

Paid time off

Job summary

Blue Cross Blue Shield of Massachusetts in Hingham is seeking an RN Manager to lead a case management/utilization management team, directing operations, policies, and staff development. You will drive performance metrics, improve quality, and ensure regulatory compliance.

The role requires MA RN licensure, 3–5 years supervisory RN experience, BSN, and strong leadership, communication, and negotiation skills.

Qualifications

• RN supervisory/management experience
• Strong leadership and communication skills
• Keen negotiation and problem-solving abilities
• Ability to work with diverse populations and teams

Responsibilities

• Lead and oversee CM/UM group operations and staff development
• Monitor metrics and drive quality, cost, and risk management
• Provide mentorship and performance feedback to associates
• Ensure compliance with policies, procedures, and regulatory requirements

Skills

RN supervision

Leadership

Communication

Negotiation

Education

BSN required

Master’s degree preferred

MA licensure

Job description

Blue Cross Blue Shield of Massachusetts in Hingham is seeking an RN Manager to lead a case management/utilization management team, directing operations, policies, and staff development. You will drive performance metrics, improve quality, and ensure regulatory compliance.

The role requires MA RN licensure, 3–5 years supervisory RN experience, BSN, and strong leadership, communication, and negotiation skills.