Nurse Case Manager (Madison County, Gibson County, Dyer County, Obion County, or Weakley County )
BlueCross BlueShield of Tennessee · Dyer 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
- Licenses: 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).
Company Information
SelectCommunity at BCBST is seeking a Registered Nurse Case Manager who is compassionate about case management, advocating for social, emotional, functional, mental, behavioral, and physical health of those who are intellectually and developmentally disabled. This role requires telephonic contacts and in-person home visits with members on at least a monthly basis and as required by TennCare Contract.