This job was posted by https://idahoworks.gov : For more information,
please see: https://idahoworks.gov/jobs/2193139 Are you looking for a
fulfilling position where you don\'t have to:
- Worry about billable hours
- Work nights and weekends
- Be on-call
And where you do have:
- Work/life balance
- Paid Time Off, including Floating Holiday and Self-Care Day
- Hybrid work schedule
- License renewal reimbursement
- Supportive team and leadership
Then consider applying to be a Clinical Care Coordinator. Clinical Care
Coordinators are health care advocates creating connections, motivating
healthy decisions, and helping North Idahoans receive the care they
deserve!
Blue Cross of Idaho is looking for a Clinical Care Coordinator to join
our growing Healthcare Operations team! The Clinical Care Coordinator
will be responsible to deliver care coordination for our members using a
collaborative process. In this role, you will build relationships and
engage with members both in person and telephonically. You will assess,
plan, implement, monitor, and evaluate member needs to ensure quality,
cost effective outcomes. This position will serve members residing in
Northern Idaho and will work from our Coeur d\'Alene, Idaho location
(hybrid opportunity).
To be considered for this opportunity you have:
Experience:
- Nurse Candidates - Three years clinical nursing or case management
to include behavioral health, managed care, or geriatrics
- Social Worker Candidates - Three years advanced social work
experience with an emphasis in behavioral health, medical social
work, congregate care, or geriatrics.
Education: Associate degree in Nursing or Bachelor\'s Degree in
Social Work
Licenses/Certifications - Must hold one of the following:
- Valid unrestricted Idaho Registered Nurse Licensure
- Valid unrestricted Idaho Social Work Licensure
Other: Travel Required up to 50%; Valid State of Residence Driver\'s
License & Automobile Liability Insurance
To be successful in this position, you have the following knowledge,
skills, and abilities:
Knowledge of:
- Community agencies and resources
- Multi-system outreach programs related to health care delivery,
clinical education, and health-related services
- Case management and/or utilization management standards
- Quality metrics and data points
- Medicare/Medicaid regulations
Skills:
- Good interpersonal and communication
- Strong problem-solving capability
- Good written and verbal communication
- Attention to detail and accuracy
- Continuous process improvement
- Motivational Interviewing
- Microsoft Excel - Intermediate
- Microsoft Word - Intermediate
- High degree of initiative and teammate
Ability to:
- Work effectively with a wide range of populations in a diverse
community
- Travel to on-site locations to facilitate community-based
interactions with member
- Be an advocate for and support, encourage and motivate members
- Maintain positive working relationships with members, families,
providers, and other external customers
- Build trust, actively listen, intentionally communicate, collaborate
and problem solve
- Influence others toward positive outcomes
- Evaluate individual member care needs and communicate medical
information to health care providers
- Work in a multicultural setting
- Demonstrate passion for helping people improve their lives
We\'d also love it if you had:
- Bachelor\'s Degree in Nursing
- Master\'s Degree in Social Work
- Managed care experience
- Healthcare Insurance Industry Experience
In this role, we will ask you to:
Conduct outreach to empower, facilitate, and educate members about the
benefits of programs.
Conduct assessments of the members\' status and develops a care plan
with the ember to address member\'s goals. Assessments are conducted
both in person in a member\'s usual care setting, by telephone, or using
video conferencing.
Identify, plan, implement, and evaluate appropriate health care
interventions in conjunction with the provider.
Facilitate coordination of care with providers. Motivate members to be
active and engaged participants in their health and overall well-being.
Help members review benefit concerns and connects with internal
resources to expedite resolution of concerns and inquiries.
Support special programs within the department.
Provide administrative support to internal and external care management
and care coordination teams.
Coordinate and complete correspondence according to established
workflows.
Possibly coordinate and lead weekly interdisciplinary c