Care Transition Case Manager- Memphis, TN
About The Position
BlueCare Population Health Management Team at BCBST is hiring a Care Transition Case Manager to support members with complex healthcare needs as they transition from hospital care to home and community-based care. The role focuses on safe, effective discharge planning and coordinated post-acute care, working with members, hospital staff, physicians, specialists, and internal care teams to identify needs, address barriers, and connect members with resources that support better health outcomes. The position includes face-to-face visits with members in Memphis-area hospitals, collaboration with hospital care teams on discharge planning, and coordination of services for smooth transitions. The role requires travel to Memphis-area hospitals at least one day per week. Candidates must live within 50 miles of Memphis, Tennessee. Sponsorship is not available. Various immunizations and/or associated medical tests may be required, and the position requires a digital literacy assessment. The position requires an 18-month commitment before applying for other internal positions.
Requirements
- Active Registered Nurse (RN) license in Tennessee, or a license in the candidate’s state of residence if that state participates in the Nurse Licensure Compact.
- Three years of clinical experience.
- Five years of experience in the healthcare industry.
- Excellent oral and written communication skills.
- Basic Microsoft Office and email skills.
- Ability to travel to Memphis-area hospitals at least one day per week for in-person visits and collaboration with facility staff.
- Must live within 50 miles of Memphis, Tennessee.
- Digital literacy assessment required.
- Various immunizations and/or associated medical tests may be required.
- An 18-month commitment is required before applying for other internal positions.
Nice To Haves
- Experience in home health, community-based nursing, public health or health department settings, and/or community hospitals.
- Experience with behavioral health and/or home health care.
- For Select Community, two years of experience in intellectual and developmental disabilities (IDD) is required.
- Strong clinical judgment, critical-thinking ability, time management, and prioritization skills.
- Self-motivated, collaborative approach and interest in improving member outcomes.
Responsibilities
- Support utilization management functions for more complex and non-routine cases as needed.
- Serve as a liaison between members, providers, and internal and external customers to coordinate healthcare delivery and benefits programs.
- Oversee highly complex cases identified through various mechanisms to support effective implementation of interventions and efficient utilization of benefits.
- Perform case management activities, including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation.
- Conduct in-person member visits at area hospitals and collaborate with facility staff on discharge planning.
- Coordinate post-acute services and connect members with resources to support transitions from acute care to home and community-based care.
- Communicate effectively through digital channels and offer technical support, as applicable to digital positions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
