Posted: Saturday, February 3, 2018 7:42 PM
For more than 80 years, Blue Cross and Blue Shield of Minnesota has been passionate about improving health. We provide quality, cost:effective health plans and innovative programs that make a healthy difference in people's lives. Blue Cross is the largest health plan based in Minnesota, covering nearly 3 million members in the state and across the country. We strive to help all Minnesotans overcome the barriers to good health.
We offer our employees a comprehensive benefits, compensation and total rewards package to keep you and your family healthy and to secure your financial future. Our Employee Resource Groups help us advance health equity while promoting a diverse and inclusive work environment. Join us and make a healthy difference in people's lives through the work you do every day. Together, well make Minnesota a better place to live - and a healthier one.
Description Summary 13;
The Health Coach RN is a critical component of BCBSMN Integrated Health Management team as the primary clinician providing condition and case management services to members. The position exists to support member needs across the continuum of care by leveraging member partnership, case and disease management processes, skill sets and tools. 13;
:Receives referral and/or reaches:out to member and leverages clinical knowledge, motivational interviewing and behavioral modification techniques.
:Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and opportunities.
:Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high:quality effective outcomes.
:Identifies relevant BCBSMN and community resources and facilitates warm program and network referrals.
:Monitors and evaluates plan of care over time.
:Ensures member data is documented according to BCBSMN application protocol and regulatory standards.
:Maintains outstanding level of service at all points of customer contact.
:Understands broad:based goals of assigned market segment(s) including clinical and service availability
:Collaborates and coordinates with team members to facilitate day to day functions and enhance the overall operation of the department.
:Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings.
:Registered nurse with current MN license and with no restrictions.
:3 years relevant direct clinical care experience.
:If not currently CCM, then eligible to prepare for CCM in 2 years in the position.
:Excellent communication skills.
:Excellent conceptual thinking skills.
:Excellent relationship management skills.
:Excellent organizational skills.
:Computer application proficiency.
:Flexibility to work varied hours.
Preferred Requirements 13;
: 1+ years of managed care experience; e .g . case management/health coach, utilization management and/or auditing experience.
:Outstanding telephonic skills.
FLSA Status 13;
Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.
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• Location: eagan, Minneapolis / St. paul
• Post ID: 29326852 minneapolis