CHOICES Care Coordinator- Shelby County

BlueCross BlueShield of Tennessee • Memphis, TN

5d • Onsite

About The Position

The CHOICES Care Coordinator helps members achieve personal health and wellness goals and supports their safety at home or in a community setting. The position includes traveling to members’ homes for visits and managing requests from internal and external stakeholders. The role calls for critical thinking, problem-solving, time management, prioritization, self-motivation, and flexibility in a fast-paced environment, with a focus on improving the quality of life for diverse members in their communities.

The Care Coordinator partners with members and families to identify supports and services that advance health, employment, and independent or community living goals. The coordinator works with clinical and social support colleagues to address physical, behavioral health, and long-term service needs; conducts objective face-to-face assessments; and applies authorization criteria for home- and community-based services while confirming that services are delivered and member needs are met.

The position is based in Shelby County, Tennessee, and follows an 8:00 a.m.–5:00 p.m. EST schedule with no on-call duties. With management approval, a compressed work week may be available after one year. The role requires a valid driver’s license, and field coordinators must have a TB skin test. Various immunizations and associated medical tests may also be required. Employees who routinely drive for company business are enrolled in the BCBST Driver Safety Program and must comply with its requirements. Employees must remain in the role for 24 months before becoming eligible to apply for other internal positions. A digital literacy assessment is required.

Requirements

• At least 2 years of clinical experience is listed in the Job Qualifications section; the introductory qualifications section lists 3 years of clinical-setting experience.
• Be a registered nurse with an active Tennessee license, or hold a license in the state of residence if that state participates in the Nurse Licensure Compact Act; alternatively, hold a Master’s in Social Work and an active, unrestricted LCSW, LMSW, or LAPSW license.
• Live in Shelby County, Tennessee.
• Have a valid driver’s license.
• Have basic PC skills, including Microsoft Office and email.
• Have effective time-management skills.
• Have excellent oral and written communication skills.
• Have strong interpersonal and organizational skills.
• Have exceptional customer service skills.
• Be available for an 8:00 a.m.–5:00 p.m. EST schedule with no on-call duties.
• Complete a digital literacy assessment.
• Complete a TB skin test if working in the field.
• Meet any position-required immunization or associated medical testing requirements.
• Employees routinely driving for company business must comply with the BCBST Driver Safety Program, including applicable auto insurance requirements and an acceptable motor vehicle record.

Nice To Haves

• After one year, a compressed work week may be available with management approval.

Responsibilities

• Partner with members and families to identify supports and direct services that meet personal goals for health, employment, and independent or community living.
• Collaborate with clinical and social support colleagues to address members’ physical, behavioral health, and long-term service needs.
• Conduct thorough, objective, face-to-face visits and assess members’ physical, behavioral, functional, psychosocial, financial, employment, and independent-living situations and needs.
• Use criteria to authorize appropriate home- and community-based services, and confirm that services are provided and members’ needs are met.
• Travel to members’ homes for visits.
• For employees routinely operating a company-owned, personal, or rental vehicle for company business, follow the BCBST Driver Safety Program, including maintaining a valid driver’s license, meeting applicable auto insurance requirements, and maintaining an acceptable motor vehicle record.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level