Case Manager, RN

Premera Blue Cross•WA Western Telecommuter, WA

21d•$80,200 - $143,100•Remote

About The Position

Our Case Managers are a compassionate team of clinicians who support members through a whole‑person care model. We partner with individuals to understand their unique medical health needs, remove barriers, and empower meaningful progress toward emotional well‑being and healthier daily living. 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 RN or ARNP license that allows you to conduct an assessment independently.
3 years' post licensure direct care experience.
1 year of post-licensure case management experience involving care coordination, care planning, discharge planning, or management of patient care over time
Individuals residing outside Washington must have or obtain the appropriate Washington State license (apply within 10 days of acceptance)
Internet access through any Internet Service Provider (ISP) with a minimum connection speed of 75 Mbps (megabits per second) download speed

Nice To Haves

Certified Case Manager (CCM) certification. If applicants do not have their CCM certification at hire, then they are required to obtain within 24 months of hire.
Bachelor’s or Master’s degree
4 or more years direct care experience across multiple patient populations, conditions, or care settings
Motivational interviewing experience
Chronic Condition Certifications (Asthma, Cardiology, Diabetes, High Risk Maternity, Oncology, Pediatrics)
Integrated Case Management certificate (ICM)
Chemical Dependency Professional (CDP) certification
LEAN training

Responsibilities

Engage members who are facing medical 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

Paid licensure renewal
Reimbursement for CCM exam fees and renewal
Extensive training including initial and ongoing motivational interviewing skill development.
Support in earning your Chronic Care Professional (CCP) certificate, Integrated Case Manager (ICM) certificate, as well as your Certified Case Manager (CCM) credential.
Paid membership in the National Case Management Society of America (CMSA) and the local state chapters
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, believe it or not, 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, just to name a few.
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.
Challenge someone to a game of shuffleboard or ping pong while on campus.