Transition of Care Nurse

🕒 2 days ago

🎸 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

💼 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

• Provide telephonic or onsite services to designated hospitals as assigned/necessary to assist hospital care coordination team with discharge planning needs of the members • Assess resource utilization and cost management; diagnosis, past and present treatment and prognosis • Coordinate member needs, develop and implement treatment plans, and establish measurable goals to accomplish the goal of transitioning member to the appropriate level of care • Assess, implement, monitor, and evaluate available resources in an effort to promote quality, cost effective outcomes while meeting the individual's health needs

🎯 Requirements

• 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 of clinical experience required • 5 years of experience in the health care industry • Excellent oral and written communication skills • PC Skills required (Basic Microsoft Office and E-Mail)

🏖️ Benefits

• flexible work arrangements • ability to work various shifts