Population Health Rn

Blue Cross

Louisiana, USA
Assess member status
Develop case management plan
Coordinate healthcare services
Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at risk for health deterioration, sentinel events, and/or poor outcomes

Job Summary

  • Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at risk for health deterioration, sentinel events, and/or poor outcomes.
  • Utilize a collaborative process to assess, plan, implement, monitor, and evaluate options and services required to meet the member’s healthcare needs.
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.

Matching Summary

Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at risk for health deterioration, sentinel events, and/or poor outcomes.

Skills & Requirements

Must-have

  • assess member status
  • develop case management plan
  • coordinate healthcare services
  • evaluate plan effectiveness
  • utilize behavioral interviewing techniques

Nice-to-have

  • culturally competent care
  • advocate for member/family
  • support informed decision making
  • build relationships with parties

Key Requirements

  • Diploma/Associate's/Bachelor's in nursing
  • 3 years direct patient care experience
  • Active RN license in Louisiana
  • RN license in non-compact state within 6 months
  • Certified Case Management Certification within 3 years

Work Rights

Not specified

Tailored Resume

Cover Letter