Florida Blue Center Navigation Nurse RN -Onsite

Get to Know Us!
GuideWell and its family of forward-thinking companies are focused on helping people and communities achieve better health and are at the forefront in the transformation of health care.

Florida Blue, a GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five million health care members across the state. We are looking for exceptional people who will bring our mission to life and succeed by putting the member first.

Important information:
* This position requires you to work on site, with some off-site event opportunities as well
* Retail hours are Mon-Fri 9am-7pm and Saturdays 9am-4pm during OEP The Retail Hours are Monday - Saturday 8am-7pm Sunday 11:30am-6pm
* Two shifts for RNs to rotate: 8:30am to 5:00pm or 10:30am to 7:00pm
* There is a "Rotation" for weekends. The expectation is to work two Saturdays per month and those Saturday might include events.
* The Retail Center is located at: Florida Blue Ft. Lauderdale (FRC),1970 Sawgrass Mills Circle, Sunrise, FL 33323

What is your impact?
Love engaging with people to help them achieve better health. Come join the exciting, rapidly expanding Direct-to-Consumer team. We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being. While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools, and programs, and referring to Florida Blue programs and resources as appropriate. Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and Guide Well Enterprise Channels. Present health education classes and programs to members and non-members. Perform Personal Health Assessments on members and provide education on ways to achieve better health.

What are your responsibilities:
*Provides personal, Care engagement and assistance with coordination of health care benefits and services to prospective customers
* Performing Personal Health Assessments and providing education on the biometric results
* Closing member care gaps by accurately documenting test results in the clinical record
* Presenting health education classes and programs
* Performing prospective customer and member needs assessment to provide the most effective and efficient customer service
* Collaborating with various teams to improve the Enterprise STARS rating through targeted member campaigns
* Participating in outbound call campaigns to members for Enterprise Partners, including Commercial, U65, and Medicare teams
* Facilitating benefit savings for members by proactively educating them on benefit plan impacts and choices
* Facilitating problem solving and issue resolution, e.g., assists with access to care issues
* Educate members on digital platforms such as Blue for Me and Mequilibrium

What is required?
3 or more years' managed care, case management, disease managements, clinical nursing, home health care or related experience with hands-on patient interaction and/or Sales work experience
High school diploma or GED
RN - Registered Nurse - State Licensure And/or Compact State Licensure Active Florida
BCLS - Basic Life Support CPR Certification
Health Coaching Certification within 6 months after hire that will remain current during employment
Experience working with or knowledge and understanding of benefit plans
Knowledge of healthcare continuum
Experience with automated medical systems

What is preferred?
Knowledge of member tools such as the Member Portal
Knowledge of health and specialty products and ability to inform others of how to use benefits in conjunction with specific illnesses
Knowledge of community resources
Knowledge of provider contracting and reimbursement methodologies
Knowledge of care management, disease management and similar care programs

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

What We Offer:
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
* Medical, dental, vision, life and global travel health insurance;
* Income protection benefits: life insurance, Short- and long-term disability programs;
* Leave programs to support personal circumstances;
* Retirement Savings Plan includes employer contribution and employer match;
* Paid time off, volunteer time off, and 11 holidays
* Additional voluntary benefits available; and
* A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Annual Pay Range: $64,000 - $104,000
Typical Annual Pay Range: $64,000 - $80,000

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities