Jobs · Healthcare · Tennessee

Nurse Case Manager (Madison County, Gibson County, Dyer County, Obion County, or Weakley County )

BlueCross BlueShield of Tennessee · Weakley County, TN · 2 wk ago
HealthcareFull-time

Job Responsibilities

  • 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.

Job Qualifications

  • Licensed 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.
  • Experience: 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.

Skills & Certifications

  • Excellent oral and written communication skills.
  • PC Skills required (Basic Microsoft Office and E-Mail).

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