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Case Manager at BlueCross BlueShield of Tennessee - ApplyBlast

Case Manager

BlueCross BlueShield of Tennessee

22 days ago

3.7 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The High-Cost Claim team at BCBST is seeking a compassionate and highly skilled RN Case Manager to support members with advanced and multifaceted healthcare needs. This role involves providing comprehensive, member-centered care for individuals with complex and chronic conditions through a proactive, advocacy-driven approach. The position requires collaborating across multidisciplinary teams to coordinate care, reduce barriers, and improve health outcomes while supporting cost-effective utilization of services.

Responsibilities

Coordinate care for members with complex and chronic conditions
Manage utilization and reduce unnecessary ED and inpatient utilization
Assess and manage complex needs in a telephonic and digital environment

Skills

Qualifications

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

About BlueCross BlueShield of Tennessee

bcbst.com

Headquarters

Chattanooga, Tennessee, United States

Company Size

5001-10000 employees

Founded

1945

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Learn more about BlueCross BlueShield of Tennessee (BCBST) health insurance and the medical, dental and vision plans we offer for employers, individuals and families.