Blue Cross Blue Shield of Michigan logo

Care Management, Registered Nurse - Hybrid | Washington, D.C.

Blue Cross Blue Shield of Michigan

  • Washington, DC
  • 21 days ago

    Highlights

    At AmeriHealth Caritas D.C., we're hiring licensed clinical professionals to join our Care Management team, supporting diverse member needs across adult, pediatric, behavioral health, and complex care populations. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.

    Numbers & Facts

    LocationWashington, DC
    IndustryHealthcare Services
    Year Founded1934
    Websitehttp://www.bcbsm.com/

    Description

    Care Management Opportunities

    Multiple opportunities | Care Manager RN, LICSW & Behavioral Health Licensure | Hybrid - 4 days onsite, 1 remote

    $5,000.00 SIGN-ON BONUS

    Your career starts now. We're looking for the next generation of health care leaders.

    At AmeriHealthCaritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

    Make your next move meaningful. At AmeriHealth Caritas D.C., we're hiring licensed clinical professionals to join our Care Management team, supporting diverse member needs across adult, pediatric, behavioral health, and complex care populations. Whether you're coordinating services post-discharge or managing medically fragile patients, your expertise can shape better outcomes. As a Clinical Reviewer on our Utilization Management team, you'll do more than check boxes. You'll ensure every service is necessary, every decision is just, and every member gets the care they truly need. Whether you're an RN or LICSW, your expertise will drive equitable, quality-focused decisions that support underserved populations across Washington, DC. This position is hybrid by design. You'll collaborate onsite with a passionate team four (4) days a week and have one (1) remote day to stay flexible while staying connected.

    What We're Looking For:

    • Clinical experience in complex care e.g., high-risk, medically fragile, or chronic), behavioral health, pediatrics, or transitions of care
    • Active RN Licensure in DC required, compact licensure strongly preferred, or LICSW
    • Knowledge of tools like InterQual or JIVA
    • Passion for Medicaid populations and purpose-driven care
    • 4 days onsite, 1 day remote

    What You'll Find Here:

    • An engaged, mission-first team that values clinical voices
    • A place where your decisions protect real people
    • Growth, mentorship, and space to lead
    • Competitive pay ($78,600–$107,100) plus a $5,000 sign-on bonus

    You've reviewed cases. Now review this opportunity—and see if it's calling your name. Apply today and be part of something bigger than the job. Be part of change!

    Work Location:

    AmeriHealth Caritas DC

    1201 Maine Ave. SW.

    Washington, DC 2024

    About Company

    When you think of the 1920s, flappers and Prohibition probably come to mind. But another important thing happened then. People started going to hospitals more often because medical care got better. That made the price go up. When an administrator at Baylor University in Texas noticed teachers couldn’t afford their hospital bills, he came up with a plan.

    More than 1,000 teachers paid $6 a year to get 21 days of hospital care. In 1934, the plan got a name and a logo: Blue Cross. A similar plan started for doctors’ services in the lumber and mining camps out west. It became known as Blue Shield.

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