ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.

Features

Auto Apply Resume Optimizer Cover Letter Optimizer Interview Prep

Company

Social Media

Need Help?

team@applyblast.com

Case Manager at Blue Cross Blue Shield of Rhode Island - ApplyBlast

Case Manager

Blue Cross Blue Shield of Rhode Island

4 months ago

4.2 on Glassdoor

Providence, RI

Hybrid

Full Time

Senior

0 applicants

View Job Listing

Apply to 100+ jobs

About this role

A Certified Case Manager at BCBSRI manages member care through evidence-based interventions, coordinates services across diverse teams, and works to moderate claims trends while improving member well-being. The role involves conducting health assessments, evaluating service levels, and facilitating communication between members, providers, and stakeholders to ensure integrated care delivery. This position requires navigating the healthcare delivery system and implementing quality requirements within a managed care environment.

Responsibilities

Manage members through evidence-based care interventions and health assessments
Evaluate member services to ensure appropriate coordination of care levels
Identify opportunities to moderate claims costs while managing chronic needs
Facilitate communication among members, providers, and stakeholders for integrated care
Supervise team operations including training, metrics management, and department initiatives

Skills

Qualifications

BS in NursingUnrestricted Rhode Island Nursing LicenseUnrestricted Massachusetts Nursing LicenseCertified Case Manager (CCM)Nurse Licensure Compact State Residency