Behavioral Health Case Manager

🔥 8 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

⚕️ Healthcare Insurance

Healthcare Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Manage a mixed caseload consisting of both ongoing members and short-term cases focused on immediate care coordination needs • Provide comprehensive care coordination and case management for dual-eligible members with complex behavioral health needs • Collaborate within an integrated care team that aligns behavioral and physical health services • Partner closely with members, caregivers, providers, and community resources to ensure seamless, coordinated care • Support members in navigating Medicare and Medicaid benefits • Advocate to improve health outcomes, access to care, and overall quality of life • Oversee highly complex cases identified through various mechanisms to ensure effective implementation of interventions • Perform case management activities in community settings including face to face with members as required

🎯 Requirements

• Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) required • 3 years - Clinical behavioral health / substance use disorder experience required • 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) • Independent, sound decision-making and problem-solving skills • Excellent oral and written communication skills • Strong interpersonal and organizational skills • Strong analytical skills • Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations • Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions • Experience with Motivational Interviewing Techniques and Adult Learning Styles

🏖️ Benefits

• Remote work environment supporting members across Tennessee • Innovation encouraged, including responsible use of AI-enabled tools