Behavioral Health Clinical Review Manager

BlueCross BlueShield of Tennessee

Behavioral Health Clinical Review Manager at BCBST shaping care decisions and improving outcomes. Working remotely while leveraging expertise in behavioral health and withdrawal management.

Posted 6/30/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Apply your knowledge of Behavioral Health and Withdrawal Management diagnoses.
Navigate the continuum of care and levels of care for Behavioral Health and Withdrawal Management.
Present cases confidently and effectively during clinical rounds.
Work independently with minimal supervision.
Excel in a fast-paced, dynamic environment.

Requirements

What you’ll need

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.
3+ years of experience in Psychiatric and/or Substance Use treatment.
Strong communication and presentation skills.
Ability to work autonomously and manage time effectively.
Adaptability and resilience in a rapidly changing work environment.

Benefits

Comp & perks

This is more than a job; it’s an opportunity to make a lasting difference in people’s lives while leveraging your expertise in a collaborative, supportive setting.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Behavioral Health DiagnosisWithdrawal Management DiagnosisPsychiatric TreatmentSubstance Use Treatment

Soft Skills

Strong CommunicationPresentation SkillsAdaptabilityResilienceTime Management