Facebook · 2 months ago
RN Concierge Care Manager – Case Management
United States
Full-time
Remote
Senior Level
5+ years expBlueCross BlueShield of South Carolina is currently hiring for an RN Concierge Care Manager – Case Management. In this role, you will provide care management services to over 2 million members, focusing on high-touch concierge case management for specialized programs and ensuring effective healthcare coordination and individualized care plans.
Computer Software
Responsibilities
Directs day-to-day, high-touch member management to include implementation of program goals, coordination of treatment plans and benefit coordination for high-risk patient populations and/or those with complex conditions
Coordinates clinical services with external sources to include: providers, vendors, facilities, social workers/case managers and/or community services
Participates in team training and continuing medical education
Prepares for external audits and quality assurance efforts
Qualification
Required
Associate's degree in nursing OR Graduate of Accredited School of Nursing OR master's degree in social work, Psychology, or Counseling (Div. 75 and 6B) only
5 years' case management experience as an RN OR 2 years' case manager experience as an RN in a health insurance environment
Working knowledge of word processing software, knowledge of quality improvement processes and demonstrated ability with these activities, knowledge of contract language and application, ability to work independently, prioritize effectively, and make sound decisions, demonstrated customer service, organizational and presentation skills, demonstrated proficiency in spelling, punctuation, and grammar skills, demonstrated oral and written communication skills, ability to persuade, negotiate, or influence others, analytical or creative thinking skills, ability to handle confidential or sensitive information with discretion
Microsoft Office
Active, unrestricted RN licensure from the United States and in the state of hire; OR active, compact, multistate, unrestricted RN license as defined by the Nurse Licensure Compact (NLC); OR active licensure as a social worker, psychologist, or counselor in state of hire (Div. 75 only). Nationally recognized Case Management certification to be obtained within 2 years of hire as a Case Manager
Preferred
Bachelor's degree in health-related field (Nursing, Healthcare Administration, Pharmacy, Sciences, Applied Health)
5 years' experience in case management in a sub-specialty area (i.e. ICU, Palliative Care, Hospice, or Home Health, Behavioral health, and Case Management.)
Strong communication and customer services skills, excellent analytical skills to problem solve and remedy issues immediately, ability to work in an autonomous environment or leadership capacity
Working knowledge of Microsoft Word, PowerPoint, Excel, or other spreadsheet/database software; TMCS, LiveOps, MDDS, and BlueVue
Case manager certification, clinical certification in specialty area. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) certification
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook 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
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase