CHOICES Care Coordinator- Sumner/Robertson Counties

BlueCross BlueShield of Tennessee • Nashville, TN

1d • 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 role includes traveling to members’ homes for visits and managing requests and demands from internal and external stakeholders. The ideal candidate is self-motivated, flexible, effective at critical thinking, problem-solving, time management, and prioritizing tasks, and passionate about improving the quality of life for diverse members in their communities. The position serves Sumner and Robertson Counties in Tennessee and follows an 8:00 a.m.–5:00 p.m. EST schedule with no on-call duties. With management approval, employees may be eligible to work a compressed work week after one year.

The coordinator partners with members and families to identify supports and direct services aligned with personal goals for health, employment, and independent or community living. They collaborate with clinical and social support colleagues, assess members’ needs through face-to-face visits, and apply authorization criteria for home- and community-based services to verify that services are delivered and needs are met. The position requires a valid driver’s license and, for field-based coordinators, a TB skin test. Various immunizations or associated medical tests may also be required. A digital literacy assessment is required, and employees must spend 24 months in the role before becoming eligible to apply for other internal positions.

Requirements

• At least 2 years of clinical experience is required in the job qualifications; the introductory section lists 3 years of experience in a clinical setting.
• Active Tennessee registered nurse license, or a license in the employee’s state of residence if that state participates in the Nurse Licensure Compact; alternatively, a Master’s in Social Work with an active, unrestricted LCSW, LMSW, or LAPSW license.
• Must live in Sumner or Robertson County, Tennessee.
• Valid driver’s license.
• Basic PC skills, including Microsoft Office and email.
• Effective time-management skills.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Exceptional customer service skills.
• Digital literacy assessment required.
• TB skin test required for coordinators who work in the field.
• Employees who routinely operate a company-owned, personal, or rental vehicle for company business must participate in the BCBST Driver Safety Program and meet its requirements, including maintaining a valid driver’s license, applicable auto insurance, and an acceptable motor vehicle record.

Nice To Haves

• Ability to work a compressed work week after one year, subject to management approval.

Responsibilities

• Partner with members and families to identify supports and direct services that help meet personal goals for health, employment, and independent or community living.
• Collaborate with clinical and social support colleagues to address each member’s physical and behavioral health needs and long-term services needs.
• Conduct thorough, objective, face-to-face visits and assess members’ physical, behavioral, functional, psychosocial, financial, employment, and independent-living status 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.
• Manage requests and demands from internal and external stakeholders while prioritizing daily tasks.

What This Job Offers

• Job Type: Full-time