Blue Cross & Blue Shield of Rhode Island
DSNP RN Care Manager
Providence, RI
Sponsorship not specified$74k-$110kDetected 21 days ago
NegotiationProcess ImprovementHRPatient CareCommunicationCollaborationProblem SolvingTime ManagementOrganizational Skills
About the role
- Pay Range: $73,600.00 - $110,400.00 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
- At BCBSRI, our greatest resource is our people.
- We come from varying backgrounds, different cultures, and unique experiences.
Responsibilities
- Monitor and evaluate patient services to ensure appropriate coordination of care. Collaborate with the Utilization Review process including pre-authorization, concurrent review, screening cases for quality of care issues, and discharge planning.
- Work collaboratively with the team and others necessary to develop and implement solutions.
- Participate in department initiatives and projects. Perform other duties as assigned.
- We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together.
- Collaborate with other team members, providers, community agencies and caregivers/ natural supports to facilitate the development of the ICP.
- We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.
Requirements
- Expertise working with D-SNP beneficiaries
- Knowledge of utilization management and/or coordination of care
- Knowledge of business process improvement techniques and strategies
- Ability to interface with employees at all levels
- Ability to effectively navigate ambiguous situations with limited direction
- Excellent organizational skills and ability to successfully prioritize multiple tasks
- Ability to handle multiple priorities/projects
Compensation
- We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.
Benefits
- We provide tuition reimbursement and assist with student-loan repayment.
- We offer health, dental, and vision insurance as well as programs that support your mental health and well-being.
Company info
- Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well.
- Our culture is one of belonging.
- We strive to be transparent and accountable.
- It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off.
Equal opportunity
- $73,600.00 - $110,400.00 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
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This listing is sourced directly from Blue Cross & Blue Shield of Rhode Island's careers page and normalized into a canonical job model.