RN Care Manager: Onsite Lincoln Area Facility

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community. This position will engage at risk members to improve health and financial outcomes through analysis of needs, design, and delivery of interventions. The Nurse Care Manager educates members to understand innovative benefit structures that promote transparency and affordability and empowers consumers to make informed decisions regarding their healthcare options, coverage, and financial risk. This role supports members in developing self-management skills and adopting positive behavior changes, identifies and addresses barriers to member’s adherence to standards of evidence-based medicine. Identifies resources to assist members in achieving their personal health goals, and proactively incorporates lifestyle improvement and prevention opportunities into member interventions. The Nurse Care Manager assists members in navigating the complex health care settings and ensures they get the support they need to optimize their overall health status. Candidates applying to this position must live within driving distance of the Lincoln, Nebraska metro and required to be onsite at Bryan Hospital East and Bryan Hospital West. What you'll do: Screen and triage members for levels and types of nurse advocacy and medical management programs, including but not limited to: member outreach initiatives, Case Management, and Nurse Health Coaching for chronic conditions. Follow the nursing process of assessment, planning, implementation, and evaluation of member-centric goals and interventions for members enrolled in the case management program. Conduct clinical assessments and engage members through a variety of approaches that will include telephonic and mobile application interventions depending on the model of care delivery. Clinical assessments address the health and wellness needs of BCBSNE members using a broad set of clinical and motivational interviewing skills with the goal of effecting members’ self-management and positive behavior changes. Function as a Nurse Care Manager for members with medical needs with the level of engagement ranging from coaching interventions to intensive case management interventions. Across the continuum of services, the goal is always to help develop and support the member’s ability to self-manage and navigate the health care system and to provide members with resources and tools to assist in health-related decision making. Identify…