Florida Blue
2+ yearsā related work experience in communicating and building relationships with members/providers/employers on health and medical related topics Current RN - Registered Nurse - State Licensure And/Or Compact State Licensure Unrestricted License Experience with influencing and motivating individuals to change health behaviors Experience in two or more of the following: home health care, utilization review, discharge planning, disease/ case management, population health management Experience working with Managed Care products, benefits and services Experience in planning, implementing coordinating and monitoring activities that focus on acute and non-acute services, outpatient services and/or community resources for all lines of business What is Preferred: Bachelorās degree in a related field CCM - Certified Case Manager Bilingual English/Spanish Behavioral Health experience General Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. Physical/Environmental Activities: Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally
Engaging with members through phone or in-person interactions to provide health coaching, education, and access to care resources. Planning and coordinating case management activities, including acute and non-acute services, outpatient services, and community resources. Facilitating care for high-risk members, including care transitions, coordination with providers, and social services. Closing gaps in care, conducting medication reconciliation, and promoting healthy lifestyles. Collaborating with members, physicians, and other stakeholders to achieve healthcare goals
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