Registered Nurse - Onsite Florida Blue Center (Tallahassee, FL)
About The Position
The Registered Nurse works in a Florida Blue Center environment as part of the Direct-to-Consumer team, supporting prospective customers and members throughout the health care continuum and delivery system. The role assesses individual needs, explains benefit plans, costs, choices, tools, and programs, and makes referrals to appropriate Florida Blue programs and community resources. The nurse performs Personal Health Assessments, explains biometric results, provides health education, and helps members make positive changes in their health and well-being. The position also supports care coordination, member outreach, issue resolution, benefit savings, and access to care. It involves collaboration with internal and external teams and participation in member campaigns, including outbound calls for Enterprise Partners. The nurse hosts customer video appointments and educates members on digital platforms, including Blue for Me and MeQuilibrium.
Requirements
- At least 1 year of related nursing work experience.
- High school diploma or GED.
- Active Florida RN license upon hire, or active compact-state licensure as applicable.
- Basic Life Support CPR certification upon hire.
- Health Coaching Certification within 180 days/6 months after hire, maintained as current during employment.
- Knowledge and understanding of benefit plans.
- Knowledge of the healthcare continuum.
- Experience with automated medical systems.
Nice To Haves
- At least 3 years of managed care, case management, disease management, clinical nursing, home health care, or related experience 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 apply to specific illnesses.
- Knowledge of community resources.
Responsibilities
- Perform Personal Health Assessments and educate members about biometric results.
- Close member care gaps by accurately documenting test results in the clinical record.
- Present health education classes and programs to members and non-members.
- Assess prospective customer and member needs to provide effective and efficient customer service.
- Collaborate with teams on targeted member campaigns to improve the Enterprise STARS rating.
- Participate in outbound call campaigns for Enterprise Partners, including Commercial, U65, and Medicare teams.
- Educate members about benefit-plan impacts and choices to facilitate benefit savings.
- Help resolve problems and 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 members to corporate programs, including Healthy Addition, New Directions, and Care Management.
- Coordinate member care as appropriate using a personalized care plan.
- Host customer video appointments.
- Educate members on digital platforms such as Blue for Me and MeQuilibrium.
Benefits
- Medical, dental, vision, life, and global travel health insurance.
- 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.
- Comprehensive wellness program.
- Competitive pay and opportunities for incentive or commission compensation.
- Annual reviews with pay-for-performance consideration for base pay increases.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
