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BlueCross BlueShield of Tennessee logo
BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

FEP Case Manager

ManagerManagerFull TimeRemoteSeniorTeam 5,001-10,000Since 1952H1B SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

86 days ago

Salary

0

Seniority

Senior

Associate Degree5 yrs expEnglish

Job Description

FEP Case Manager

BlueCross BlueShield of Tennessee

• 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.

Job Requirements

  • 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.
  • 3 years - Clinical experience required
  • 5 years - Experience in the health care industry
  • For Select Community & Katie Beckett: 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)

Benefits

  • Various immunizations and/or associated medical tests may be required for this position.
  • Digital literacy assessment required.

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