Pediatric RN Case Manager
Blue Cross Blue Shield of Massachusetts(1 month ago)
About this role
The Clinical Care Manager (Pedi Case Manager) coordinates and facilitates care for pediatric members with rising health risks or complex healthcare needs to promote optimal health. The role is self-directed and involves assessing needs, identifying social determinants of health and disparities, and collaborating with a multidisciplinary team to support care plans and transitions. The position requires licensed clinical professionals working within Blue Cross Blue Shield of Massachusetts to engage members and providers to improve outcomes.
Required Skills
- Care Coordination
- Case Management
- Medication Review
- Patient Education
- Clinical Assessment
- Care Planning
- Documentation
- IT Systems
- Cultural Competency
Qualifications
- Active MA RN or PT License
- High School Diploma or Equivalent
About Blue Cross Blue Shield of Massachusetts
bluecrossma.orgBlue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App
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