Rn Specialist Complex Case Manager - Pediatrics/nicu

Blue Cross and Blue Shield of Minnesota

Eagan, MN, United States
$79,100.00 - $104,800.00 - $130,500.00 annual py
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Clinical expertise
Critical thinking skills
Business sense
** Blue Cross and Blue Shield of Minnesota is seeking a Pediatrics/NICU RN Specialist Complex Case Manager to join their team in Eagan, MN. This role involves working closely with members and their families to manage complex medical conditions, ensuring effective care plans that lead to optimal health outcomes. **

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.
  • Focusing on members and their families going through the Pediatrics/Nicu experience, this clinician receives referrals and leverages clinical and condition pathway knowledge for outreach stratification.
  • 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

** Blue Cross and Blue Shield of Minnesota is seeking a Pediatrics/NICU RN Specialist Complex Case Manager to join their team in Eagan, MN. This role involves working closely with members and their families to manage complex medical conditions, ensuring effective care plans that lead to optimal health outcomes. **

Salary

$79,100.00 - $104,800.00 - $130,500.00 Annual

Skills & Requirements

Must-have

  • clinical expertise
  • critical thinking skills
  • business sense
  • telephonic outreach
  • clinical assessments
  • plan of care development
  • health plan operations knowledge

Nice-to-have

  • strong resiliency
  • flexibility skills
  • innovative solutions

Key Requirements

  • 3 years relevant clinical care experience including Pediatrics/Nicu
  • 1 year of managed care experience
  • 5 years relevant clinical care experience
  • CCM Certificate or ability to obtain within 3 years
  • Current MN RN license

Work Rights

Not specified

Tailored Resume

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