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Case Manager- Remote

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About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

The Case Manager is a critical component of BCBSMN Care 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.

Your 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.

Required Skills and Experience

  • 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 Counselor (LPC)

    - 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 Skills and Experience

  • 1+ years of managed care experience; e.g. case management/health coach, utilization management and/or auditing experience.
  • Outstanding telephonic skills.

Compensation and Benefits:

Pay Range: $67,200.00 - $89,100.00 - $111,000.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance
  • Life insurance
  • 401k
  • Paid Time Off (PTO)
  • Volunteer Paid Time Off (VPTO)
  • And more

To discover more about what we have to offer, please review our benefits page.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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