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Nurse Case Manager
BlueCross BlueShield of TennesseeRN Case Manager providing compassionate care for members with complex needs. Collaborating across teams to improve health outcomes in a remote capacity.
About the role
Key responsibilities & impact- 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 identified through various mechanisms 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.
- Digital positions must have the ability to effectively communicate via digital channels and offer technical support.
Requirements
What you’ll need- License Registered Nurse (RN) with 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 Law.
- 3 years - Clinical experience required
- 5 years - Experience in the health care industry
- For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required
- Excellent oral and written communication skills
- PC Skills required (Basic Microsoft Office and E-Mail)
Benefits
Comp & perks- Various immunizations and/or associated medical tests may be required for this position.
- This job requires digital literacy assessment.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementassessmentplanningimplementationcoordinatingmonitoringoutcomes evaluationclinical experienceutilization management
Soft Skills
communication skillsinterpersonal skills
Certifications
Registered Nurse (RN) license