Care Manager

Blue Cross and Blue Shield Association • Meridian, ID

60d

About The Position

Join Blue Cross of Idaho's growing Healthcare Operations team! In this role, care managers will effectively care-manage members utilizing a collaborative process. Work independently and under limited supervision. Assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs using communication and available resources to promote quality, cost-effective outcomes.

Requirements

• 3 years' relevant experience
• Associates Degree in Nursing or Bachelor's Degree in Social Work; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)
• Must hold one of the following:
• Valid unrestricted Idaho Registered Nurse License
• Valid unrestricted Idaho Social Worker License

Nice To Haves

• Masters in Social Work

Responsibilities

• Conducts an evaluation of the members' current status including physical, mental, and social determinants of health.
• Identifies, plans, implements, and evaluates appropriate health care interventions in conjunction with the physician treatment plan.
• Collaborates with member, family, healthcare provider and team members to coordinate care and guide members to the most appropriate, cost effective resources.
• Collaborates with members, providers, staff, and stakeholders to assure continuity for members throughout different levels of care they may require.
• Provides education and referrals to appropriate community resources.
• Tracks and reports quantifiable impact, quality of care, and/or quality of life improvements as measured against long and short-term goals.
• Acts as a peer mentor for training new personnel as well as on-going training for staff.
• Conducts quality review of work completed by peers and new hires.
• Performs other duties and responsibilities as assigned.

Benefits

• We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Associate degree