RN Case Manager
Blue Cross Blue Shield of Massachusetts(1 month ago)
About this role
The Clinical Care Manager facilitates care for members and their families who have rising health risks or complex healthcare needs, working to promote optimal health outcomes. This self-directed role operates both independently and collaboratively, focusing on assessing needs and identifying health disparities, social determinants, and barriers to care. The position is embedded in a multidisciplinary team within a health plan, supporting member-centered care coordination and clinical oversight.
Required Skills
- Care Coordination
- Case Management
- Patient Education
- Medication Review
- Care Transitions
- Clinical Documentation
- Quality Assurance
- Provider Communication
- Utilization Management
- Cultural Competency
+1 more
Qualifications
- High School Diploma
- Active MA Licensure (RN or PT)
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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