Rn Specialist Complex Case Manager - Pediatrics/nicu

Blue Cross and Blue Shield of Minnesota

$79,100.00 - $104,800.00 - $130,500.00 py
Hybrid (2 days onsite)
Clinical expertise
Strong critical thinking skills
Keen business sense
Blue Cross and Blue Shield of Minnesota is seeking an RN Specialist Complex Case Manager for Pediatrics/NICU to enhance healthcare outcomes for members. The ideal candidate will possess strong clinical and case management experience, particularly in pediatrics, and be committed to the mission of transforming healthcare

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: 85

Blue Cross and Blue Shield of Minnesota is seeking an RN Specialist Complex Case Manager for Pediatrics/NICU to enhance healthcare outcomes for members. The ideal candidate will possess strong clinical and case management experience, particularly in pediatrics, and be committed to the mission of transforming healthcare.

Salary

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

Skills & Requirements

Must-have

  • Clinical expertise
  • Strong critical thinking skills
  • Keen business sense
  • Evidence-based treatment
  • Telephonic outreach
  • Motivational interviewing
  • Interdisciplinary care team collaboration

Nice-to-have

  • Paving the way for healthiest life
  • Succeeding together
  • Finding a better way
  • Doing the right thing
  • Innovative solutions

Key Requirements

  • Registered nurse with current MN license
  • 5 years relevant clinical care experience
  • CCM Certificate or ability to obtain within 3 years
  • High school diploma (or equivalency)
  • Legal authorization to work in the U.S.
  • 3 years relevant clinical care experience including Pediatrics/Nicu
  • 1 year of managed care experience

Work Rights

Not specified

Tailored Resume

Cover Letter