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Join to apply for the Case Manager role at Premera Blue Cross Overview Premera Blue Cross is a nationally recognized integrated case management provider. We focus on helping members transition toward healthier lifestyles through a holistic, member‑centric approach. The Case Manager role is a telecommuter position that supports members with medical, mental health, and substance use challenges. What you will do Engage target members and build a relationship that supports open dialogue on sensitive topics. Conduct initial holistic health assessments to understand member needs, identify social determinants of health, and assess cultural influences. Collaborate with caregivers and providers to develop a member‑centric case management plan with goals, barriers, and outcomes. Monitor, evaluate, and update the plan to ensure progress toward goals and relevance. 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. Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements. What you will bring – Required Active WA State or Compact license: Nursing (RN, ARNP), Behavioral Health (LMFT, LICSW, LMHC), or Psychology (board certification). At least 3 years of direct patient/clinical care experience post‑licensure. Reliable high‑speed internet (≥20 Mbps). Satellite and wireless connections are not supported. Preferred 1+ year experience as a Case Manager. Certified Case Manager (CCM) certification. Chemical Dependency Professional (CDP) or Chronic Care Professional (CCP). Lean training and advanced motivational interviewing skills. Licensing and Certification Expectations Case Managers must hold a valid WA state or MSL/Compact license and meet WA credentialing requirements. Non‑certified managers have 24 months to obtain a Certified Case Manager (CCM) credential. Training and Perks Initial and ongoing motivational interviewing skill development. Support to earn Chronic Care Professional (CCP) and Integrated Case Manager (ICM) certificates. NCQA accredited program with full credit for case management. LEAN methodology involvement in process improvement. Paid licensure renewal and CCM exam fee reimbursement. Paid membership in the National Case Management Society of America (CMSA) and local state chapters. Work Location and Schedule Telecommuter. Training: First 4–6 weeks – Monday through Friday, 8 am–5 pm PT. Ongoing: 40‑hour week with 5 hours for extended coverage (Mon‑Fri 5‑7 pm; Sat 9 am‑2 pm PT). Schedules may change to meet member coverage needs. Premera Total Rewards Medical, vision, and dental coverage with low employee premiums. Voluntary benefits, including pet insurance. Life and disability insurance. Retirement: 401(k) employer match and a pension plan vested after 3 years of service. Wellness incentives and mental‑wellness resources. Generous paid time off. Tuition assistance for undergraduate and graduate degrees. Employee recognition program. Equal Employment Opportunity / Affinitive Action Premera is an equal opportunity/affirmative action employer. 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 or phone at 425‑918‑4785. Salary National Salary Range: $78,000.00 – $122,200.00 National Plus Salary Range: $81,900.00 – $139,200.00 (National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska. ) #J-18808-Ljbffr
