We're a top workplace
because we have top talent.
At Blue Cross and Blue Shield of New Mexico, we know what it takes to become an exceptional employer: outstanding employees. In fact, their positive feedback is part of the reason why the Albuquerque Journal named Blue Cross and Blue Shield of New Mexico as one of its Top Workplaces for 2014—and the first among large companies.
If you're an outstanding professional in your own right, we welcome you to join our team, and become part of our world-class organization.
RN - Unit Manager, Clinical Operations - Long Term Care
Job Req ID: LEO-1000908
This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer.
*Registered Nurse (RN), with current, unrestricted license to practice in state of operations.
*2 years clinical experience with direct clinical care to the consumer.
*2 years utilization review/ managed care experience OR 2 years utilization review/ health care experience.
*Knowledge of managed care program policies and procedures.
*Knowledge of managed care and insurance industry.
*Verbal, written, and interpersonal communication skills.
*PC proficiency to include Word, Excel, PowerPoint.
*Analytical skills and sound clinical judgment.
PREFERRED JOB REQUIREMENTS:
*Case Management Certification (URAC accredited certification) or obtain URAC accredited case management certification within three year of employment if overseeing case management operations.
*Long Term Care experience.
Please apply online at: www.bcbsnm.com/careers, referencing Job Number LEO-1000908. Previous applicants must reapply.
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Background investigations are required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association