Registered Nurse - Onsite Florida Blue Center (Tallahassee, FL)

GuideWell • Tallahassee, FL

10d • Onsite

About The Position

The Registered Nurse works in a Florida Blue Center environment as part of the Direct-to-Consumer team, helping prospective customers and members navigate the health care continuum and delivery system. The role assesses individual needs, explains benefit plans, costs, choices, tools, and programs, and connects people with Florida Blue and community resources. The nurse performs Personal Health Assessments, provides education based on biometric results, presents health education classes and programs, and supports members in making positive changes to their health and well-being.

The position also coordinates care as appropriate, helps resolve access-to-care and other issues, and educates customers and members about benefit structures, care setting alternatives, and cost and quality comparisons. The nurse collaborates with internal teams and participates in member outreach campaigns, including those supporting Enterprise partners. The role includes hosting customer video appointments and helping members use digital platforms such as Blue for Me and MeQuilibrium.

Requirements

• At least 1 year of related nursing work experience.
• High school diploma or GED.
• Active Florida RN license or compact-state RN licensure.
• BCLS - Basic Life Support CPR Certification upon hire.
• Health Coaching Certification within 180 days (six months) after hire, maintained as current during employment.
• Knowledge and understanding of benefit plans.
• Knowledge of the health care continuum.
• Experience with automated medical systems.

Nice To Haves

• At least 3 years of experience in managed care, case management, disease management, clinical nursing, home health care, or a related area involving hands-on patient interaction.
• Sales work experience.
• Knowledge of benefit plans.
• Knowledge of provider contracting and reimbursement methodologies.
• Knowledge of member tools such as the Member Portal.
• Knowledge of care management, disease management, and similar care programs.
• Knowledge of health and specialty products and ability to explain how benefits can be used in conjunction with specific illnesses.
• Knowledge of community resources.

Responsibilities

• Perform Personal Health Assessments and educate members about their biometric results and ways to achieve better health.
• Accurately document test results in clinical records to help close member care gaps.
• Present health education classes and programs to members and non-members.
• Assess prospective customer and member needs to provide effective and efficient service.
• Collaborate with teams on targeted member campaigns to improve the Enterprise STARS rating.
• Participate in outbound member call campaigns for Enterprise partners, including Commercial, U65, and Medicare teams.
• Educate members proactively about benefit plan impacts and choices to facilitate benefit savings.
• Help solve problems and resolve issues, including access-to-care issues.
• Refer members to community resources, such as elder care.
• Educate prospective customers and members about benefit structures and care setting alternatives.
• Help prospective customers and members access and understand cost and quality comparisons.
• Refer people to corporate programs such as Healthy Addition, New Directions, and Care Management, as appropriate.
• Coordinate member care using a personalized care plan, as appropriate.
• Host customer video appointments.
• Educate members about digital platforms such as Blue for Me and MeQuilibrium.
• Provide personal care engagement and assistance coordinating health care benefits and services in the Direct-to-Consumer Channel.

Benefits

• Medical, dental, vision, life, and global travel health insurance.
• Life insurance and short- and long-term disability programs.
• Leave programs to support personal circumstances.
• Retirement Savings Plan with employer match.
• Paid time off, volunteer time off, 10 holidays, and 2 well-being days.
• Additional voluntary benefits and a comprehensive wellness program.
• Competitive pay and potential incentive or commission compensation.
• Regular annual reviews with pay-for-performance considerations for base pay increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED