Behavior Health Case Manager

BlueCross BlueShield of Tennessee•Nashville, TN

1d•Remote

About The Position

Our BlueCare team at BCBST is looking to hire a Behavioral Health Case Manager to support members within the Intellectual and Developmental Disability (IDD) population. You will manage a mixed caseload of some set members and some short-term cases to address current care coordination needs. In this role, you will work collaboratively as part of a specialized team focused on IDD support and build ongoing, trusted relationships with members, their caregivers, and providers to ensure effective care coordination and strong member advocacy. All services are delivered remotely, supporting members located throughout the state of Tennessee. To be successful in this role, in addition to meeting the core job requirements, you will bring prior case management or care coordination experience, with experience supporting the IDD population strongly preferred. You are open to learning and able to be trained to support IDD members if your direct experience is limited, and you are comfortable managing a consistent caseload with diverse and complex needs. Strong organizational skills and the ability to work independently in a fully remote environment are essential for success in this role. Candidates will need to reside in the state of Tennessee. Sponsorship is not available for this position. At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work. As roles become more advanced, employees are expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members. As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.

Requirements

Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required.
RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
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.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
Independent, Sound decision-making and problem-solving skills.
Excellent oral and written communication skills.
Strong interpersonal and organizational skills.
Strong analytical skills.
Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations.
Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions.
Experience with Motivational Interviewing Techniques and Adult Learning Styles.
Candidates will need to reside in the state of Tennessee.
Ability to work independently in a fully remote environment.
Comfortable managing a consistent caseload with diverse and complex needs.
Open to learning and able to be trained to support IDD members if direct experience is limited.
Proficient in the Microsoft Office suite, including Microsoft Teams.
Organized and capable of managing multiple assignments or projects simultaneously.
Talented individuals who excel in a team environment, share responsibility, and embrace accountability.
Expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members.

Nice To Haves

Experience supporting the IDD population strongly preferred.

Responsibilities

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.
Perform case management activities in community settings including face to face with members as required.