What are the Key Responsibilities :
- Engaging with members through phone or in-person interactions to provide health coaching, education, and access to care resources.
- Planning and coordinating case management activities, including acute and non-acute services, outpatient services, and community resources.
- Facilitating care for high-risk members, including care transitions, coordination with providers, and social services.
- Closing gaps in care, conducting medication reconciliation, and promoting healthy lifestyles. Collaborating with members, physicians, and other stakeholders to achieve healthcare goals
What is Required:
- 2+ years’ related work experience in communicating and building relationships with members/providers/employers on health and medical related topics
- Current RN - Registered Nurse - State Licensure And/Or Compact State Licensure Unrestricted License
- Experience with influencing and motivating individuals to change health behaviors
- Experience in two or more of the following: home health care, utilization review, discharge planning, disease/ case management, population health management
- Experience working with Managed Care products, benefits and services Experience in planning, implementing coordinating and monitoring activities that focus on acute and non-acute services, outpatient services and/or community resources for all lines of business
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What is Preferred:
- Bachelor’s degree in a related field
- CCM - Certified Case Manager
- Bilingual English/Spanish
- Behavioral Health experience
General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
Physical/Environmental Activities
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally
What We Offer:
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
- Medical, dental, vision, life and global travel health insurance;
- Income protection benefits: life insurance, short- and long-term disability programs;
- Leave programs to support personal circumstances;
- Retirement Savings Plan including employer match;
- Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and a comprehensive wellness program.
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Typical Annualized Hiring Range: $69,400 - $86,800, within a full annualized salary range of $69,400 - $112,800
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
