Medical Case Manager; Shelby

Position: Medical Case Manager (Shelby County)
Select Community 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  this role, the Select Community 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 Select Community 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 Tenn Care 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 Shelby County TN as travel is required to meet with members.

Job 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.

Effective 7/22/13:
This Position requires an 18 month commitment before posting for other internal positions.

Various immunizations and/or associated medical tests may be required for this position.

This job requires digital literacy assessment.

Job Qualifications License Registered  Nurse (RN) with active 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.

Experience3 years
- Clinical experience required5 years
- Experience in the health care industry

For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required

Skills ertifications

Excellent oral and written communication skillsPC Skills required (Basic Microsoft Office and E-Mail)
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis
* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).

* The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Number of Openings Available1

Worker Type:

Employee Company:

VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental…