Behavioral Health Case Manager - Murfreesboro

BlueCross BlueShield of Tennessee•Nashville, TN

51d•Onsite

About The Position

Join Our Behavioral Health Transition of Care Team! We’re seeking a dedicated Care Manager to support BlueCare members during critical transitions. In this role, you’ll work closely with local Acute Inpatient Psychiatric facility in the Murfreesboro area, to collaborate with treatment teams and assist with discharge planning. You’ll help members navigate next steps, whether finding appropriate care after discharge or accessing behavioral health resources and provide telephonic follow-up to ensure continuity of care post-discharge. It's important to note that the caseload is fluid, adapting to changes in facility admissions and referrals, and so schedule changes are a possibility. Comprehensive training and shadowing will set you up for success in this rewarding role! Please note: Due to location requirements, candidates must be within 25 miles of Murfreesboro, Tennessee. What You’ll Do Conduct onsite visits to local Acute Inpatient Psychiatric facility in the Murfreesboro area. This is at a minimum of twice weekly to support discharge planning. Participate in treatment team meetings , sharing insights on member cases and collaborating on care strategies. Assist members in finding appropriate care or resources post-discharge, including behavioral health services. Provide telephonic follow-up to ensure members have what they need for successful recovery. Maintain a caseload while balancing onsite visits and remote support. Collaborate with providers and internal teams to meet member needs and resolve challenges.

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

Nice To Haves

Ability to adapt to change in a fast-paced environment.
Assertive communicator who speaks up when support or process improvements are needed.

Responsibilities

Conduct onsite visits to local Acute Inpatient Psychiatric facility in the Murfreesboro area. This is at a minimum of twice weekly to support discharge planning.
Participate in treatment team meetings , sharing insights on member cases and collaborating on care strategies.
Assist members in finding appropriate care or resources post-discharge, including behavioral health services.
Provide telephonic follow-up to ensure members have what they need for successful recovery.
Maintain a caseload while balancing onsite visits and remote support.
Collaborate with providers and internal teams to meet member needs and resolve challenges.
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.