Case Manager, RN

Premera Blue Cross

1d•Remote

About The Position

Case Managers are a dedicated team of clinicians (RNs, behavioral health professionals, and dieticians) who utilize a holistic model that enables our members to transition towards healthier lifestyles. Premera Blue Cross, a nationally recognized leader in the practice of integrated case management, is looking to expand our growing team of Case Managers. Our comprehensive, whole-person health assessment helps to identify member actionable barriers and develop obtainable goals that will eventually lead to self-care. In the interim, case managers employ an integrated case management approach that recognizes making lifestyle changes is not simple and meets members where they are. We also monitor progress toward goals and facilitate the coordination of providers as needed. Our market-differentiated approach has helped thousands of members make meaningful improvements to their daily habits, health, and overall well-being.

Requirements

Active WA State or Compact License in one of the following: Nursing: Current registration as a nurse (e.g., RN, ARNP) Behavioral Health: Valid licensure (e.g., LMFT, LICSW, LMHC) Psychology: Board certification
3 years' experience with direct patient/clinical care post-licensure.
High-speed cable, DSL, or Fiberoptic Internet, no less than 75 Mbps

Nice To Haves

1+ years prior experience as a Case Manager
Certified Case Manager (CCM) certification
Chemical Dependency Professional (CDP)
Chronic Care Professional certification (CCP)
LEAN training
Advanced Motivational Interviewing skills

Responsibilities

Engage target members (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support open and constructive dialog on sensitive topics.
Conduct initial holistic health assessments that help build an understanding of a member’s specific situation and needs and identify any social determinants of health (SDOH) and cultural influences that may impact potential lifestyle changes.
Create a space where a case manager and member can collaborate, along with relevant caregivers and providers, to develop a member-centric case management plan that sets goals, addresses potential barriers, and leads to improved health outcomes.
Monitor, evaluate, and update the effectiveness of the member's case management plan to ensure progress toward goals is being made and that current goals remain pertinent.
Facilitate communication and coordination among the health care team to maximize delivery of appropriate care.
Provide interventions focused on removing barriers, promoting positive behavior change using motivational interviewing techniques, and stabilizing the members’ natural support systems by ensuring that caregiver needs are identified and being met.
Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements.

Benefits

Medical, vision, and dental coverage with low employee premiums.
Voluntary benefit offerings, including pet insurance for paw parents.
Life and disability insurance.
Retirement programs, including a 401K employer match and a pension plan that is vested after 3 years of service.
Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs.
Generous paid time off to reenergize.
Tuition assistance for both undergraduate and graduate degrees.
Employee recognition program to celebrate anniversaries, team accomplishments, and more.
Commuter perks make your trip to work less impactful on the environment and your wallet.
Free convenient on-site parking.
Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
Paid licensure renewal
Reimbursement for CCM exam fees and renewal
Paid membership in the National Case Management Society of America (CMSA) and the local state chapters