BlueCross BlueShield of Tennessee
The AmplifyHealth Team at BCBST is seeking a caring and committed RN Case Manager to join our team. AmplifyHealth is the highest-tier medical management product available to BCBST’s self-funded commercial group accounts, using an advocacy-focused approach to deliver cost-savings. In this role, you will manage members with chronic and complex medical conditions including cancer and assist with various care coordination needs. Preferred candidates will have experience in Case Management, ICU, Med-Surg, Oncology, or Home Health Care RN Case Managers must be available for late shift rotation and open to obtaining additional non-compact RN licenses as requested. Although we are based in Chattanooga, TN, this is a fully remote role.
3+ years of experience in a clinical setting Certified Case Manager (CCM) at hire or obtained within 2 years. An active RN license (TN or compact states). Exceptional customer service skills 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. Experience: 3 years - Clinical experience required 5 years - Experience in the health care industry Various immunizations &/or associated medical tests may be required for this position. For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required Skills\Certifications: Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire. For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years. Excellent oral and written communication skills PC Skills required (Basic Microsoft Office and E-Mail)
Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows Testing. Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.
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