Bcbsnc
Episodic Care Manager
Remote Flex - North Carolina
Sponsorship not specified$74k-$118kDetected 2 days ago
Code ReviewCollaboration
About the role
- Job Description We're hiring an Episodic Care Manager to join the Behavioral Health team!
- In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection.
- In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.
Responsibilities
- Communicate and collaborate effectively with internal and external clinical/non-clinical staff (including MDs) to coordinate work
- Appropriately and fully document outcome of reviews and demonstrate the ability to interpret and analyze clinical information
Requirements
- RN with 3 years of clinical experience or LPN with 5 years of clinical experience.
- Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties.
- For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience (LCSW, LCMHC, LPC, LMFT).
- Bonus Points (Preferred qualifications)
- What You'll Get
- The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
- Where You'll Work
Nice to have
- 3+ years of clinical psych experience is highly preferred.
Skills
- Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants.
- All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC.
- Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
Compensation
- At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed.
- Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.
- Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
- Based on annual corporate goal achievement and individual performance.
- $73,698.00 - $117,917.00
- 401k match including an annual company contribution
Benefits
- We're hiring an Episodic Care Manager to join the Behavioral Health team!
- Review and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and regulations.
- Assess appropriateness for secondary case review by the Medical Director (MD) for denials and coordinate as needed.
- May coordinate peer-to-peer review upon provider request when members' health conditions do not meet guidelines
- Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.
This listing is sourced directly from Bcbsnc's careers page and normalized into a canonical job model.