Clinical Nurse, Case And Disease Management

Blue Cross and Blue Shield of Kansas City

Kansas City, Missouri, United States
Not specified; annual incentive bonus plan based o...
Not specified
Active rn license in missouri and kansas
3 years direct patient care experience
Transplant, oncology, or medical/surgical background
Blue Cross and Blue Shield of Kansas City is seeking a Clinical Nurse for Case and Disease Management, responsible for coordinating care and managing transplant-related cases. The ideal candidate will have a nursing degree, clinical experience in transplant or oncology, and must reside in the Kansas City metropolitan area

Job Summary

  • The role utilizes a collaborative process to assess member needs and develop individualized care plans that promote optimal, cost-effective health outcomes.
  • Candidates must reside in the Kansas City metropolitan area and possess an active Registered Nurse license in both Missouri and Kansas.
  • The position offers a competitive total rewards package including comprehensive medical benefits, a 401(k) plan with employer contribution, and paid parental leave.

Matching Summary

Match Score: 85

Blue Cross and Blue Shield of Kansas City is seeking a Clinical Nurse for Case and Disease Management, responsible for coordinating care and managing transplant-related cases. The ideal candidate will have a nursing degree, clinical experience in transplant or oncology, and must reside in the Kansas City metropolitan area.

Salary

Not specified; Annual incentive bonus plan based on company goals; Comprehensive medical, dental, vision, and 401(k) contributions included

Skills & Requirements

Must-have

  • Active RN license in Missouri and Kansas
  • 3 years direct patient care experience
  • Transplant, oncology, or medical/surgical background
  • Knowledge of URAC and NCQA guidelines
  • Culturally sensitive care planning

Nice-to-have

  • Bachelor's degree in nursing preferred
  • 5 years total experience including case management
  • FACETS UM system proficiency
  • Milliman guidelines knowledge
  • Multistate RN licensure capability

Key Requirements

  • Associate degree in nursing required
  • Valid RN license in MO and KS
  • Case Management Certification within 3 years
  • 3 years full-time clinical experience
  • Residency in Kansas City metro area

Work Rights

Must be authorized to work in the US

Tailored Resume

Cover Letter