Blue Cross and Blue Shield of Minnesota · 1 month ago
Case Manager - Behavioral Health - Commerical
United States
Full-time
Remote
Mid Level
$67K/yr - $111K/yr
3+ years expBlue Cross and Blue Shield of Minnesota is committed to transforming healthcare and is seeking a Case Manager to join their Care Management team. The role involves providing condition and case management services to members, conducting clinical assessments, and collaborating with various stakeholders to ensure positive clinical outcomes.
Insurance
Responsibilities
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
Qualification
Required
Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician licensed for independent practice with one or more of the following licenses with no restrictions: Licensed Marriage and Family Practice (LMFT), Licensed Independent Clinical Social Worker (LICSW), Licensed Psychologist (LP), Licensed Professional Clinical Counselor (LPCC)
3 years relevant direct clinical care experience
All relevant experience including work, education, transferable skills, and military experience will be considered
CCM Certification or ability to obtain within 3 years of starting 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
High school diploma (or equivalency) and legal authorization to work in the U.S
Preferred
1+ years of managed care experience; e.g. case management/health coach, utilization management and/or auditing experience
Outstanding telephonic skills
Benefits
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
Company
Blue Cross and Blue Shield of Minnesota
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.
1001-5000 employees
H1B Sponsorship
Blue Cross and Blue Shield of Minnesota has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (6)
2022 (2)
2021 (3)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Carrie S. Lawrence
Executive Administrator to the President & CEO and Chief of Staff
Patsy Riley
Chief Goverment Officer and Senior Vice President and CEO, ClearStone Solutions
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