Case Manager – Federal Employee Programs

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

Apply Now

Check your resume score

Customize resume + cover letter

Find Similar Remote Jobs

☆ Save☑️ Mark as applied❌ Hide

Report problem

BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • 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

• Support utilization management functions for complex and non-routine cases • Serve as a liaison between members, providers, and internal/external customers in coordinating health care delivery and benefits programs • Oversee highly complex cases to implement interventions effectively and ensure efficient utilization of benefits • Perform case management activities including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation • Communicate effectively through digital channels and provide technical support

🎯 Requirements

• Registered Nurse (RN) with active license in the state of Tennessee or an active license in the employee’s state of residence if participating in the Nurse Licensure Compact Law • 5 years of experience in the health care industry • 3 years of clinical experience • Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire • Excellent oral and written communication skills • Basic Microsoft Office and email skills • Ability to effectively communicate via digital channels and offer technical support • Sponsorship is not available for this position • Ability to complete a digital literacy assessment • Various immunizations and/or associated medical tests may be required

🏖️ Benefits

• Fully remote role • Compassionate and seamless member experience • Responsible use of AI-enabled tools to support everyday work • Training and promotion opportunities without regard to protected characteristics

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume