Job Summary

• The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medical necessity and contractual benefits.
• Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system.
• Blue Cross NC offers a robust Total Rewards package that includes an Annual Incentive Bonus, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

Matching Summary

Salary

Base: $73,698.00 - $117,917.00; Bonus/Equity: Annual Incentive Bonus; Benefits: Medical, dental, vision, wellness programs, parental leave, tuition reimbursement, 401k match

Skills & Requirements

Key Requirements

• RN with 3 years clinical experience
• LPN with 5 years clinical experience
• Valid applicable clinical license (NC or compact multi-state)

Work Rights