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Case Manager at Blue Cross and Blue Shield of North Carolina - ApplyBlast

Case Manager

Blue Cross and Blue Shield of North Carolina

4 months ago

4.0 on Glassdoor

North Carolina

Hybrid

Full Time

Senior

0 applicants

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About this role

A Case Manager at Blue Cross NC coordinates appropriate care, resources, and services for selected member populations within the Commercial Care Management team. The role involves developing member-centric plans, utilizing clinical skillsets for assessments, collaborating with healthcare providers, and monitoring outcomes to drive quality care. Managers also facilitate care across the continuum, including hospital, home, and skilled nursing facilities, while educating members to encourage positive health outcomes.

Responsibilities

Coordinate care and resources for selected member populations
Develop tailored member-centric plans of care
Perform comprehensive clinical assessments and treatment planning
Monitor and manage care across the continuum of services
Educate members to limit expenses and encourage positive outcomes

Skills

Qualifications

RN LicenseRD LicenseLCSW LicenseMaster's in Social WorkCCM Certification

About Blue Cross and Blue Shield of North Carolina

bluecrossnc.com

Headquarters

Durham, North Carolina, United States

Company Size

5001-10000 employees

Founded

1933

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Blue Cross NC makes health insurance easy. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Better care starts here.