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Supervisor, Case Management

đź•’ July 31

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

đźź  Senior

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Logo of BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee

5001 - 10000 employees

Founded 1952

🏥 Healthcare

đź’Ľ 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.

đź“‹ Description

• 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 • 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 • Must be proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)

🏖️ Benefits

• Competitive salary • Health insurance • 401(k) matching • Paid time off • Remote work options

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