Care Management Coordinator - AHA - remote
Experience:
· Minimum three years clinical experience or equivalent (Intensive Care, Trauma, Home Health a plus) required
· Medical management/precertification experience preferred
· Oriented in current trends of medical practice
· Active PA Licensed Registered Nurse required
Skills:
· Strong problem solving and critical thinking abilities
· Proficiency utilizing Microsoft Word, Outlook, Excel, Access, SharePoint, and Adobe programs.
· Excellent organizational planning and prioritizing skills
· Ability to work independently and provide positive resolution of complex medical and interpersonal challenges
· Highly professional interpersonal skills for internal and external contacts, particularly in situations where medical evaluations are in conflict with treating providers proposed treatment plans
· Participates in the process of educating providers on managed care
· Comfortable with new ideas and methods; creates and acts on new opportunities; is flexible and adaptable.
· Builds team spirit and interdepartmental rapport, using effective problem solving and motivational strategy
· Performs additional job-related duties as assigned
Education: Registered nurse, BSN Preferred
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.