Jobs · OTHR · Kentucky

CHOICES Care Coordinator - Tennessee Residents only

BlueCross BlueShield of Tennessee · Campbell County, KY · 3 wk ago
OTHRFull-time

We are seeking qualified professionals throughout the state of Tennessee to serve members in their local communities. Applicants must be Tennessee residents and willing to travel weekly within their assigned coverage area.

About the role

As a CHOICES Care Coordinator, you will serve in a comprehensive case management role, partnering with members and their families to identify supports and services that help them achieve their personal goals for health, employment, independence, and community living. You will conduct in-person face-to-face visits, assess members' physical, behavioral, functional, psychosocial, financial, and long-term care needs, and collaborate with a multidisciplinary team of clinical and support professionals to coordinate services that promote safety, independence, and well-being.

This field-based position requires weekly travel to members' homes, nursing facilities, hospitals, and other community settings to assess needs, monitor services, and ensure members receive the support necessary to remain safe and successful in their communities. Success in this role requires strong case management skills, critical thinking, effective time management, exceptional communication, and the ability to work independently while balancing multiple priorities in a fast-paced environment.

Responsibilities

  • Partner with members and families to identify needed supports and direct services to meet personal goals for good health, employment, and independent or community living.
  • Collaborate with a team of clinical and social support colleagues to meet the physical, behavioral health, and long-term service needs of each member.
  • Conduct thorough and objective face-to-face visits and assess each member's situation to determine current status and needs, including physical, behavioral, functional, psychosocial, financial, and employment and independent living expectations.
  • Utilize criteria for authorizing appropriate home and community-based services and confirm those services are being provided and that members' needs are being met.
  • Maintain a valid driver's license.
  • Complete a TB skin test (applies to coordinators that work in the field).
  • Note: Position requires 24 months in role before eligible to post for other internal positions.
  • Various immunizations and/or associated medical tests may be required for this position.
  • This job requires a digital literacy assessment.

Requirements

  • At least 2 years of clinical or case management experience.
  • An active Registered Nurse (RN) 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 an active unrestricted Master's-level social work license (LCSW, LMSW, or LAPSW).
  • Strong assessment, care coordination, customer service, and case management skills.
  • Critical thinking and problem-solving abilities.
  • Excellent communication, interpersonal, and organizational skills.
  • Effective time management skills and the ability to work independently.
  • Basic Microsoft Office, email, and digital literacy skills.
  • A valid driver's license and willingness to travel throughout your assigned service area.
  • Residency within the state of Tennessee.

Skills

  • Basic Microsoft Office and email proficiency.
  • Effective time management.
  • Excellent oral and written communication.
  • Strong interpersonal and organizational skills.

Schedule

  • Monday through Friday, 8:00 AM to 5:00 PM (CST or EST).
  • No on-call responsibilities.
  • Compressed work week options may be available with management approval after 1 year of employment.

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