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.
📌 Fep Case Manager Hybrid Flex Role Raleigh
🏢 Blue Cross NC
📍 Raleigh
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