BlueCross BlueShield of South Carolina

Spartanburg, SC, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Nurse Case Manager at BlueCross BlueShield of South CarolinaBlueCross BlueShield of South Carolina is looking for an experienced, compassionate, and driven Nurse Case Manager to join our team. As an integral part of our healthcare organization, the successful candidate will use their clinical expertise to provide quality health services to our members. This is an excellent opportunity for a highly motivated individual to take the next step in their career development and become a leader in the healthcare field. The ideal candidate will have a minimum of two years of nursing experience, possess a valid nursing license, and be knowledgeable about healthcare policies. The Nurse Case Manager must be organized and attentive to detail, with strong communication and problem-solving skills. Additionally, the successful candidate should be committed to providing optimal care and support for our members.

Responsibilities:

  1. Utilize clinical knowledge to provide quality healthcare services to members.
  2. Create and maintain strong relationships with members.
  3. Monitor and report the progress of members’ health and treatment plans.
  4. Lead care coordination activities, including scheduling appointments, coordinating referrals, and facilitating transition of care.
  5. Develop and implement strategies to improve member health outcomes.
  6. Maintain current knowledge of healthcare policies and regulations.
  7. Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes.
  8. Ensure compliance with all regulatory and accreditation requirements.
  9. Provide education and support to members and their families.
  10. Record and document patient information in accordance with established protocols.
Where is this job?
This job is located at Spartanburg, SC, USA
Job Qualifications
  • Excellent Written And Verbal Communication Skills

  • Bachelor's Degree In Nursing

  • Proficiency In Microsoft Office Suite

  • Ability To Work Independently And Collaboratively

  • + Years Of Experience In Nursing

  • Current Rn License

  • Knowledge Of Clinical And Reimbursement Processes

  • Understanding Of The Managed Care And Health Plan Environments

Required Skills
  • Documentation

  • Research

  • Networking

  • Planning

  • Communication

  • Coaching

  • Nursing

  • Counseling

  • Compassion

  • Case management

  • Collaboration

  • Organization

  • education

  • Problem-Solving

  • advocacy

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organization

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Nurse Case Manager in Spartanburg, SC, USA is between $67,300 and $90,000. This range is based on the salaries reported by employers and job seekers in the area.

Additional Information
BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 30th, 2023
Apply BeforeMay 22nd, 2025
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About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.

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