Registered Nurse - Case Manager (Remote)

This key position is responsible for assisting Florida Blue Medicare members make effective health care choices for self-management of their chronic condition(s).

What You Will Be Doing

• Engage Members telephonically or face to face with a focus on health coaching and member education.
• Facilitate access to care and resources to meet the member's health care needs.
• Plan, implement, coordinate and monitor Case Management activities.
• Facilitate care for high risk members across the continuum of the health care experience.
• Close gaps in care and conduct Medication Reconciliation.
• Collaborate with Member, Physicians, and Care Teams to assist the member to meet health care goals.

What We Require

• 2+ years related work experience in communicating and building relationships with members/providers/employers.
• RN State Licensure and/or Compact State Licensure Unrestricted License Upon Hire.
• Experience with influencing and motivating individuals to change health behaviors.
• Knowledge and/or experience with population health.
• Experience in home health care, utilization review, discharge planning, disease or case management.
• Travel up to 30% for on-site meetings or events.

What We Prefer

• Bachelor's degree in a related field.
• CCM (Certified Case Manager).
• Bilingual English/Spanish.