RN- Case Manager
Blue Cross and Blue Shield of Alabama - Alabama

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This position is accountable for coordinating and administering all programs delivered by the Health Management division. Those programs include but are not limited to utilization management activities and member outreach activities, both member centric and provider based programs. Activities may include regular communication with all members of the health care delivery system, group representatives, marketing, utilization review, individual patient assessment, coordination of all components relating to appropriate medical care, data analysis, information gathering and dissemination, maintaining computer databases, resource utilization, and compliance with network directives. Participation in and continuous review of URAC standards is required.

1. Bachelor degree or, upon hire, commit to actively pursue a degree 2. Active license as a Registered Nurse (RN) 3. Currently licensed by the State of Alabama as a Registered Nurse or, upon hire, agree to actively pursue Alabama license 4.

Minimum of three years clinical experience as an RN 5. Experience in a position interpreting and communicating information orally and written 6. Experience in a position requiring independent decisionmaking skills 7. Experience in a position using negotiation skills 8.

Experience communicating with all levels of staff internal and external 9. Experience in a position presenting information in formal and informal settings desired 10. Experience working with various Microsoft Office programs is a plus. Contact information Lindsey Gottlieb; lindseygottlieb@bcbsal.org; (205) 220 6560

NurseJobsNationwide.com - 3 years ago - save job - block
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