Join Our Team: Do Meaningful Work and Improve People’s Lives 

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. 

To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. We are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!

Who we are

Under the umbrella of Integrated Health Management, we are a member facing team of interdisciplinary trained clinicians including registered nurses, licensed behavioral health clinicians, dieticians and support staff providing case management, care transition management and other specialized services.

Who we serve

We provide a wholistic care model which involves collaboration with members and their families, caregivers, employer groups and providers. Case Managers use an integrated (physical/mental health) case management model, and a collaborative, relationship-based approach, including members, health care providers and caregivers to assist poly-chronic and high-risk members to improve their health outcomes. Case managers provide a comprehensive, integrated health assessment of member's current situation and status; identify actionable barriers and obtainable goals to achieve optimal self-care management; monitor member's progress toward goals; facilitate the coordination, communication and collaboration among the member's providers; advocate for members and promote self-advocacy; assist members to obtain appropriate quality care within their benefit plan; and identify resources in the community or within the member's natural support system to fill any gaps within their benefit plan.

Our teams use Motivational Interviewing (MI) techniques a method which involves asking thoughtful, purposeful questions. Motivational Interviewing helps to both engage and empower the member which can help fuel personal motivation and build the confidence needed to pursue change.

What you will do:

• Engage members with medical, mental health and/or substance utilization disorders in services utilizing evidenced-based engagement skills.
• Conduct initial holistic health assessment of member's current conditions, situation and needs and ongoing evaluations. Assessment may include an evaluation of the caregiver's needs as well as an evaluation of the larger system.
• Collaborate with the member, caregivers and providers to develop a culturally sensitive case management plan that addresses barriers and promotes improved health outcomes.
• Monitor and evaluate the effectiveness of the member's case management plan and continuously update to ensure goals are progressing and remain pertinent; identify and address barriers to completing goals.
• Facilitate communication and coordination among the health care team to minimize fragmentation, eliminate duplication and maximize delivery of appropriate care.
• Provide interventions focused on removing the member's barriers to health improvement; promoting positive behavior change using motivational interviewing techniques; and addressing the caregiver's needs in order to stabilize the member's natural support system.
• Maintain concise, accurate and timely documentation that supports effective, efficient management of the member and that meets accreditation, contractual and legal requirements.