Registered Nurse - Complex Case Manager - Saint Paul

Saint Paul, United States | Posted on 05/02/2022

St. Paul is the second city that forms Minnesota’s Twin Cities. As a large business hub in the upper Midwest, the St. Paul area is home to headquarters of many healthcare giants including Mayo Clinic, Ecolab, Allina and Essentia Health. Whether you are looking to relocate or are a current resident, job opportunities in St. Paul are abundant

On Time Talent Solutions is searching for an energetic Registered Nurse who is passionate about working with patients and their family members. You will be providing targeted interventions to avoid hospitalizations & emergency room visits as well as participate in team meetings to further assess & create care plans to optimize patients health statuses.

• Conducts clinical assessments with members and providers utilizing motivational interviewing; gathers, analyzes, synthesizes and prioritizes member needs and opportunities based upon the clinical assessment and research and collaborates with the interdisciplinary care team to develop a comprehensive plan of care
• Receives referral for member identified with high cost, complex medical conditions and telephonically outreaches to the member, family and providers to engage in complex case management program
• Collaborates and communicates with the health care team; e.g. member, family, designated representative, health care provider on a plan of care that produces positive clinical results and promotes high–quality, cost effective outcomes
• Identifies relevant BCBSMN and community resources and facilitates program and network referrals.
• Monitors, evaluates, and updates plan of care over time
• Ensures member data is documented according to BCBSMN application protocol and regulatory standards
• Collaborates with interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member’s needs and health care cost drivers.

• Registered Nurse with a current license and with no restrictions
• 5 years relevant clinical care experience
• CCM Certificate, or ability to obtain within 1 year of starting in the position
• Excellent telephonic skills, communication skills, conceptual thinking skills, and organizational skills
• Excellent research, analytical, and creative problem-solving skills
• Prefer 2+ years of managed care experience; e.g. case management/health coach, utilization management and/or auditing experience