Case Manager, RN

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. Working at Premera means you have the opportunity to drive real change by transforming healthcare. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: . *Join our Case Management team now through December 2026 and receive a $3,000 sign-on bonus!* Our Case Managers are a compassionate team of clinicians who support members through a whole‑person care model. We partner with individuals to understand their unique medical health needs, remove barriers, and empower meaningful progress toward emotional well‑being and healthier daily living. 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. Our market-differentiated approach has helped thousands of members make meaningful improvements to their daily habits, health, and overall well-being. The opportunity to help members in a meaningful and impactful way. We know that helping people is important to you. ~ You will be working with folks who literally wrote the book on integrated case management. ~ 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. ~ Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements. 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 Certified Case Manager (CCM) certification. Bachelor’s or Master’s degree ~4 or more years direct care experience across multiple patient populations, conditions, or care settings ~ Chronic Condition Certifications (Asthma, Cardiology, Diabetes, High Risk Maternity, Oncology, Pediatrics) ~ Integrated Case Management certificate (ICM) ~ Chemical Dependency Professional (CDP) certification ~ LEAN training Training and Perks: 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 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. Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including: Medical, vision, and dental coverage with low employee premiums. Life and disability insurance. Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service. Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few. We have tuition assistance for both undergraduate and graduate degrees. For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement. Free convenient on-site parking. Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling. Challenge someone to a game of shuffleboard or ping pong while on campus. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785. we generally target up to and around the midpoint of the range.