RN Case Manager
Blue Cross Blue Shield of Massachusetts · Hingham, Massachusetts, US
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Role The Clinical Care Manager is responsible for facilitating care for m...
Job description
Ready to help us transform healthcare? Bring your true colors to blue. The Role: The Role The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care based on the principles of care management. Facilitation is focused on assessing needs, identifying health care disparities, social determinants of health, and any barriers to care. The Team: The Team The Clinical Care Manager is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical directors and more, who collaborate to facilitate care. Key Responsibilities: - Engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively and provide members with education and resources as needed.Promote member compliance with treatment plan, encourage shared decision-making, and set appropriate goals to promote optimal member outcomes. - Interpret and apply case management c...