Explore a rewarding Case Manager position with Blue Cross NC, where you will coordinate member care under a Hybrid Flex model. Utilize your clinical expertise to drive quality care and resource optimization.

As an integral member of the FEP Case Management Team, this role requires an RN with three years of clinical or case management experience. You will assess member needs, develop tailored plans, and collaborate with healthcare teams. The position emphasizes proactive engagement with members to optimize clinical outcomes and resource utilization.

Key Responsibilities:
• Coordinate care and resources for diverse member populations
• Conduct comprehensive assessments and develop member-centric plans
• Monitor ongoing member progress towards health goals




• Educate members on proactive interventions for better health
• Document all aspects of care and plan developments

Requirements:
• RN with three years of clinical/case management experience
• Valid clinical license in NC or compact multi-state
• CCM certification required within two years
• Preferred telephonic case management experience
• EMR experience is a plus

Drive quality care and resource utilization through effective member management in this vital role.
#J-18808-Ljbffr

📌 FEP Case Manager Hybrid Flex Role (Newfoundland and Labrador)
🏢 Blue Cross NC
📍 Newfoundland and Labrador