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BH Case Manager – Federal Employee Program
BlueCross BlueShield of TennesseeBehavioral Health Case Manager supporting complex member needs at BlueCross BlueShield of Tennessee. Ensuring coordinated, high-quality care for members with behavioral health conditions.
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.
- Perform case management activities in community settings including face to face with members as required.
Requirements
What you’ll need- Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) required.
- 3 years - Clinical behavioral health / substance use disorder experience required.
- 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available.
- Experience with Motivational Interviewing Techniques and Adult Learning Styles.
- Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
Benefits
Comp & perks- Remote work policy
- Flexible work arrangements
- Comprehensive care management
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
clinical behavioral healthsubstance use disordercase managementassessmentplanningimplementationcoordinatingmonitoringoutcomes evaluationmotivational interviewing
Soft Skills
liaisoncommunicationcoordinationinterpersonal skillsorganizational skills
Certifications
Tennessee nursing licenseCertified Case Manager (CCM)