Supervisor, Case Management

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🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Serve as a critical operational leader—coaching and developing a team of care managers • Overseeing daily workflows, and ensuring quality, productivity, and adherence to evidence-based practices • Onboarding and supporting a rapidly growing team, providing real-time guidance, performance management, and issue resolution • Monitoring productivity and performance based on departmental goals; identifying areas for quality improvement and ensuring updated processes are implemented • Supervises, hires, motivates, and evaluates staff to assure effectiveness of programs and appropriate professional evaluation of clinical services • Coordinates clinical interface with internal/external clients to ensure delivery of quality services • Facilitates the implementation of programs, policies, and procedures related to clinical management programs • Performing quality audits and review audit findings, providing feedback and training to staff as needed regarding clinical or technical information

🎯 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 • 5 years - Experience in the healthcare industry or in an operations type environment required • 3 years - Clinical experience required • 2 years - Experience in a leadership/management role required • 1 year - Utilization Management, or Case Management experience required • For Select Community & Katie Beckett: 2 years experience in IDD is required • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) • Must be a team player, be organized and have the ability to handle multiple projects • Excellent oral and written communication skills • Strong interpersonal and organizational skills

🏖️ Benefits

• We foster a culture where innovation is encouraged • Using AI enabled tools responsibly to support everyday work • Provides a critical operational leadership role