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Blue Cross and Blue Shield of Minnesota is seeking an RN Specialist Complex Case Manager to join their team, focusing on providing comprehensive care management for members with complex medical needs. The ideal candidate will possess strong clinical expertise, effective communication skills, and a collaborative mindset to enhance health outcomes and manage healthcare costs effectively.
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Job Summary
Utilizing key principles of case management, the RN Specialist will research and analyze the member’s health needs and health care cost drivers and will work closely with an interdisciplinary care team to ensure members have an effective plan of care that leads to optimal, cost-effective outcomes.
Leveraging clinical expertise, strong critical thinking skills and a keen business sense, the RN Specialist will work closely with the member and their family to avoid unnecessary hospitalizations and emergency department utilization, optimize site of care whenever possible, and ensure evidence-based treatment is being applied.
We offer a comprehensive benefits package which may include: Medical, dental, and vision insurance, Life insurance, 401k, Paid Time Off (PTO), Volunteer Paid Time Off (VPTO), And more.
Matching Summary
Match Score: 75
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Blue Cross and Blue Shield of Minnesota is seeking an RN Specialist Complex Case Manager to join their team, focusing on providing comprehensive care management for members with complex medical needs. The ideal candidate will possess strong clinical expertise, effective communication skills, and a collaborative mindset to enhance health outcomes and manage healthcare costs effectively.
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Salary
$79,100.00 - $104,800.00 - $130,500.00
Skills & Requirements
Must-have
Clinical expertise
Critical thinking skills
Telephonic outreach
Motivational interviewing
Interdisciplinary care team collaboration
Health plan operations knowledge
Nice-to-have
Transforming healthcare vision
Succeeding together culture
Finding a better way
Doing the right thing values
Innovative solutions promotion
Key Requirements
Registered nurse with current MN license
5 years relevant clinical care experience
CCM Certificate or ability to obtain within 3 years