Nurse Case Manager (Madison County, Gibson County, Dyer County, Obion County, or Weakley County )

BlueCross BlueShield of Tennessee • Chattanooga, TN

2d • Remote

About The Position

SelectCommunity at BCBST is seeking a Registered Nurse Case Manager who is compassionate about case management, advocating for social, emotional, functional, mental, behavioral, and physical health of those who are intellectually and developmentally disabled. In this role, the SelectCommunity Nurse Care Manager (NCM) assesses members’ current status, facilitates coordination of long-term services and supports under their insurance benefits and benefits under Department of Disability and Aging. The SelectCommunity NCM collaborates with members, caregivers, conservators, and providers to develop individual, integrated plans of care based on health needs, while monitoring progress for members with multiple levels of acuity. This role requires telephonic contacts and in person home visits with members on at least a monthly basis and as required by TennCare Contract. You will be a great match for this role if you have an active RN license in the state of Tennessee along with 5 years of experience in the healthcare field (including 3 years of clinical experience). Additionally, we’re seeking candidates who reside in Madison County, Gibson County, Dyer County, Obion County, or Weakley County TN as travel is required to meet with members.

Requirements

• Active RN license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
• 3 years of clinical experience required
• 5 years of experience in the health care industry
• 2 years experience in IDD for Select Community is required
• Excellent oral and written communication skills
• PC Skills required (Basic Microsoft Office and E-Mail)
• Proficient in the Microsoft Office suite, including Microsoft Teams
• Organized and capable of managing multiple assignments or projects simultaneously.
• Strong interpersonal abilities

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.
• Digital positions must have the ability to effectively communicate via digital channels and offer technical support.

Benefits

• BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

What This Job Offers

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