Medicare Advantage Case Manager Nurse - Hybrid

Blue Cross and Blue Shield of Kansas is seeking a Medicare Advantage Case Management Nurse (Non-Certified or Certified). This role reviews, processes, and communicates with members and providers for case management activities and negotiates reimbursement with providers. Training is onsite for ~4 weeks with hybrid/onsite options after, and Kansas or Missouri residency is preferred. Responsibilities include URAC/CMS compliance, collaboration with multiple departments, and implementing