BlueCross BlueShield of Tennessee

Care Coordinator Manager

BlueCross BlueShield of Tennessee

full-time

Posted on:

Location Type: Remote

Location: TennesseeUnited States

Visit company website

Explore more

AI Apply
Apply

About the role

  • Evaluate and enhance the efficiency, effectiveness, and quality of work flow, and lead performance improvement efforts to identify opportunities for improvement and to implement best practice solutions.
  • Manage supervisory level personnel and care coordination staff, as well as hiring and ongoing training of the care coordination team.
  • Interact, facilitate, and establish partnerships and collaborations with internal and external stakeholder.
  • Develop and maintain reporting mechanisms to allow for tracking, trending, and monitoring of initiatives and outcomes.
  • Facilitate gathering, analyze, and present data to comply with reporting requirements.
  • Ensure compliance with federal, state, and agency policies, procedures, and standards through documentation review, clinical outcomes analysis, and staff education.

Requirements

  • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; OR, Masters in Social Work with an active unrestricted license.
  • 5 years - Supervisory experience required
  • 3 years - Experience providing care coordination to persons receiving long-term care and/or home and community based services required
  • Analytical and decision making abilities.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Excellent oral and written communication skills
  • Good interpersonal skills and teamwork ethic
  • Be self-motivated and capable of working independently
  • Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
  • Ability to lead, train, motivate, delegate, follow-up, resolve and overcome obstacles to meet aggressive time tables.
Benefits
  • 90% day travel required
  • Valid driver's license required
  • Various immunizations &/or associated medical tests may be required for this position
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
care coordinationdata analysisreporting mechanismscomplianceclinical outcomes analysissupervisory experiencelong-term carehome and community based servicesdecision makingtraining
Soft Skills
oral communicationwritten communicationinterpersonal skillsteamworkself-motivatedorganizational skillsreliabilitymulti-taskingleadershipproblem solving
Certifications
Registered Nurse licenseMasters in Social Work license