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Blue Cross Blue Shield of Michigan · 5 months ago

Care Manager RN - Compact License

United States

Full-time

Remote

Mid Level

3+ years exp

Blue Cross Blue Shield of Michigan is seeking a Care Manager RN to lead a multidisciplinary team in delivering a holistic care management program for a diverse health plan population. This role involves assessing, developing, implementing, and monitoring care plans while engaging members through various communication channels.

Health CareHealth Insurance

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally

Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary

Accurately document interactions that support management of the member

Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care

Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care

Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency

Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals

Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM)

Qualification

Registered NurseCase ManagementClinical Nursing ExperienceMotivational InterviewingTelephonic Patient ManagementDigital Communication SkillsCertified Case ManagerComputer SkillsMicrosoft ProgramsCritical Thinking

Required

RN - Registered Nurse - Multi-State-Licensure

Must reside and be licensed in the same state that is part of the Nurse Compact

Nursing Diploma or associate degree in nursing required

3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required

Certification in Case Management (CCM) required or to be obtained within 18 months of hire

Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member's outcomes

Must have intermediate computer knowledge, typing capability and proficiency in Microsoft programs (Excel, OneNote, Outlook, Teams, Word, etc.)

Preferred

Bachelor's degree in nursing strongly preferred

1 year of case management experience in a managed care setting strongly preferred

Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred

Certification in Chronic Care Professional (CCP) preferred

Must have exemplary computer skills and be able to utilize multiple systems when interacting with members/providers – Strongly Preferred

Company

Blue Cross Blue Shield of Michigan

Glassdoor3.9

We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health.

Founded in 1929

Detroit, Michigan, USA

5001-10000 employees

http://www.bcbsm.com/

H1B Sponsorship

Blue Cross Blue Shield of Michigan has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (66)

2024 (49)

2023 (38)

2022 (58)

2021 (74)

2020 (60)