Care Advocacy Case Manager RN

About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You'll Have Provides dedicated telephonic support to members and accounts, ensuring seamless coordination of care and resolution of complex issues. This role goes beyond traditional case management by handling appeals, scheduling appointments, and collaborating with providers, pharmacists, and internal teams to deliver exceptional service and improve member outcomes. What You'll Do Provides dedicated telephonic case management and care advocacy support, helping members navigate healthcare needs, resolve complex care issues, coordinate appointments, manage appeals, and connect with internal and external support programs. Acts as a primary point of contact for assigned accounts, collaborating with providers, pharmacists, utilization management teams, and customer service to improve member outcomes, ensure seamless care coordination, and deliver high-touch concierge-level service. Requires an active Minnesota RN license and significant case management experience, with responsibility for managing caseloads, documenting interventions, supporting audits, and using motivational interviewing techniques to drive member engagement and adherence to care plans. How You'll Do It Conduct telephonic outreach to members, addressing health needs and resolving issues related to care, denials, and appeals. Serve as a dedicated resource for assigned accounts, providing personalized support and ensuring high service standards. Promote and refermemberstoaccountspecific external vendors as well as internal progra