Remote Nursing Jobs at Premera Blue Cross

Workforce Classification: Telecommuter

Who we serve

Premera Blue Cross, a nationally recognized leader in the practice of integrated case management, is looking to expand our growing team of Case Managers. Our comprehensive, whole-person health assessment helps to identify member actionable barriers and develop obtainable goals that will eventually lead to self-care. In the interim, case managers employ an integrated case management approach that recognizes making lifestyle changes is not simple and meets members where they are. We also monitor progress toward goals and facilitate the coordination of providers as needed. Our market-differentiated approach has helped thousands of members make meaningful improvements to their daily habits, health, and overall well-being.

What you will do

• Engage members who are facing medical utilization disorders and build a relationship that will support open and constructive dialog on sensitive topics.
• Conduct initial holistic health assessments that help build an understanding of a member's specific situation and needs and identify any social determinants of health (SDOH) and cultural influences that may impact potential lifestyle changes.
• Create a space where a case manager and member can collaborate, along with relevant caregivers and providers, to develop a member-centric case management plan that sets goals, addresses potential barriers, and leads to improved health outcomes.
• Monitor, evaluate, and update the effectiveness of the member's case management plan to ensure progress toward goals is being made and that current goals remain pertinent.
• Facilitate communication and coordination among the health care team to maximize delivery of appropriate care.
• Provide interventions focused on removing barriers, promoting positive behavior change using motivational interviewing techniques, and stabilizing the members' natural support systems by ensuring that caregiver needs are identified and being met.
• Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements.

What you will bring

Required

• Active WA State or Compact RN or ARNP license that allows you to conduct an assessment independently.
• 3 years' post licensure direct care experience.
• 1 year of post-licensure case management experience involving care coordination, care planning, discharge planning, or management of patient care over time

Preferred

• Certified Case Manager (CCM) certification. If applicants do not have their CCM certification at hire, then they are required to obtain within 24 months of hire.
• Bachelor's or Master's degree
• 4 or more years direct care experience across multiple patient populations, conditions, or care settings
• Motivational interviewing experience
• Chronic Condition Certifications (Asthma, Cardiology, Diabetes, High Risk Maternity, Oncology, Pediatrics)
• Integrated Case Management certificate (ICM)
• Chemical Dependency Professional (CDP) certification
• LEAN training

Conditional Requirements

• Individuals residing outside Washington must have or obtain the appropriate Washington State license (apply within 10 days of acceptance)
• Internet access through any Internet Service Provider (ISP) with a minimum connection speed of 75 Mbps (megabits per second) download speed

Training and Perks

• Paid licensure renewal
• Reimbursement for CCM exam fees and renewal
• Premera provides extensive training including initial and ongoing motivational interviewing skill development.
• Support in earning your Chronic Care Professional (CCP) certificate, Integrated Case Manager (ICM) certificate, as well as your Certified Case Manager (CCM) credential.
• Since 2012, Premera has been a NCQA accredited program earning full credit for our case management program. All our clinicians receive documentation, assessment, and intervention skill training to ensure they are practicing at the highest professional skill level.
• Clinicians and managers also employ LEAN methodology that supports their active involvement in process improvement activities.
• Paid membership in the National Case Management Society of America (CMSA) and the local state chapters

Work Location and Schedule

• This position is classified as a telecommuter.
• Training Schedule: Your training schedule for the first six weeks of hire will be Monday through Friday, between 8 am and 5 pm PT (Pacific Time)
• Ongoing Schedule: You will be working a 40-hour weekly schedule that includes 5 hours that will provide coverage for extended hours (Monday through Friday between 5 and 7 pm or Saturday between 9 am and 2 pm. Note: all times are Pacific)
• Please note: Schedules are subject to periodic change due to member coverage requirements.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

National Salary Range

$81,100.00 - $137,900.00

National Plus Salary Range

$92,400.00 - $157,100.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.