Case Manager

BlueCross BlueShield of Tennessee

RN Case Manager for BCBST managing complex healthcare needs in Tennessee. Advocating and coordinating care to improve health outcomes and reduce costs.

Posted 6/10/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

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

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 of clinical experience required
5 years of 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

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementassessmentplanningimplementationcoordinatingmonitoringoutcomes evaluationclinical experienceutilization management

Soft Skills

communication skillsinterpersonal skills

Certifications

Registered Nurse (RN) license