Case Manager
BlueCross BlueShield of Tennessee
full-time
Posted on:
Location Type: Remote
Location: Tennessee • United States
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About the role
- Supporting utilization management functions for more complex and non-routine cases as needed.
- Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
- Overseeing highly complex cases to ensure effective implementation of interventions, and to ensure efficient utilization of benefits.
- Performing the essential activities of case management: assessment, planning, implementation, coordinating, monitoring, outcomes and evaluation.
Requirements
- 3+ years of experience in a clinical setting.
- An active RN license (TN or compact states).
- Ability to work independently from your home office with face-to-face visits required based on members acuity.
- Must live within 50 miles of Shelby County.
Benefits
- Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis will be automatically enrolled into the BCBST Driver Safety Program.
- Health insurance
- Retirement plans
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementassessmentplanningimplementationcoordinatingmonitoringoutcomes evaluation
Soft Skills
communicationliaisonindependent work
Certifications
RN license