Registered Nurse, BCBS Case Manager (Main Clinic) – Quality Management Position Available In Forrest, Mississippi
Tallo's Job Summary: The Registered Nurse, BCBS Case Manager in Quality Management at the Main Clinic in Hattiesburg, MS, focuses on optimizing patient health outcomes and coordinating services for Blue Cross Blue Shield patients. This role requires a graduate of an accredited nursing school, current state licensure, at least three years of nursing experience, and proficiency in EMR and medical management. The work schedule is Monday to Friday, 8:00 AM to 5:00 PM, with some travel required. Hourly pay and an associate degree in nursing are necessary qualifications.
Job Description
Registered Nurse, BCBS Case Manager (Main Clinic)•Quality Management
415 S 28th Ave, Hattiesburg, MS 39401, USA Req #3218 Tuesday, March 4, 2025
POSITION SUMMARY:
The Blue Cross Blue Shield Case Management Nurse utilizes a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet the Blue Cross Blue Shield patients’ health needs throughmunication and targeted intervention to promote optimal, cost-effective oues in a clinic setting. The function of this position is to assist Blue Cross Blue Shield patients in the administration of their health plan benefits. The Blue Cross Blue Shield Case Management Nurse focuses on arranging or coordination services that the patient needs to get well or stay well and removing barriers that prevent the member from engaging in an appropriate plan of care. The Blue Cross Blue Shield Case Management Nurse demonstrates the strengths working independently as well as collaboratively within a multi-specialty healthcare environment.
QUALIFICATIONS
Graduate of accredited school of nursing required•Registered Nurse, with current state licensure required. Prefer at least three years of nursing experience. Knowledge of EMR, medical management, policies and procedures. Intermediate skills in word processing, spreadsheet and database development and maintenance. Excellentanizational, written, and oralmunication skills.
WORK SCHEDULE
Monday•Friday 8:00AM•5:00PM Other details
Pay Type Hourly Travel Required Yes Travel % 10 Required Education Associate Degree
