Digital Case Manager

reputed company (BCBST) is seeking a dedicated and reputed company Nurse Case Manager to join the team! This nurse will play a key role in managing members with newly diagnosed oncology conditions and Type 1 Diabetes, ensuring timely and effective interventions, comprehensive health education, and appropriate utilization of benefits. The ideal candidate will demonstrate strong clinical judgment to identify care needs, coordinate multidisciplinary resources and referrals, and reputed company consistent follow-up to support reputed company reputed company. reputed company in this role requires the ability to manage a high volume of cases while maintaining strong attention to detail, effectively prioritize competing demands, and remain accountable for long-term results. Strong communication skills—both digital and telephonic—along with technical proficiency reputed company literacy, are essential. The ideal candidate will bring a background in oncology, acute inpatient, hospice, med surg, ICU or case management (inpatient or telephonic) experience. Note: · This position requires an 18-month commitment before pursuing other internal opportunities. If you’re reputed company for your next career reputed company, we encourage you to apply! · Although we are based in Chattanooga, TN, this is a fully remote role. · Sponsorship is not available for this position. · At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work. As roles become more advanced, employees are expected to reputed company AI, guided by established workflows, templates, and policies, to improve how we serve our members. Job Responsibilities Supporting utilization management functions for more reputed company 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 reputed company 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, reputed company and evaluation. Digital positions must have the ability to effectively communicate reputed company digital channels and offer technical support. Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions. Various immunizations and/or associated medical tests may be required for this position. This job requires digital literacy assessment. Job Qualifications License Registered Nurse (RN) with active license in the reputed company 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 For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required Skills\Certifications Excellent oral and written communication skills PC Skills required (Basic reputed company Office and E-Mail) Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine reputed company* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine reputed company" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: reputed company. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in reputed company job classifications without regard to race, religion, reputed company, age, sex, national reputed company, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be reputed company by reviewing the following page: BCBST's EEO Policies/Notices reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written Direct Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be paid in the event the applicant is hired by reputed company as a result of the referral or through other means. As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a reputed company outlook for an even healthier reputed company. At BCBST, we reputed company our employees to reputed company both independently and collaboratively, creating a reputed company impact on the lives of our members. We seek talented individuals who reputed company in a team environment, reputed company responsibility, and reputed company accountability. We're also seeking candidates who are proficient in the reputed company Office suite, including reputed company Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across reputed company roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to reputed company AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position reputed company the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and reputed company. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reputed company in Chattanooga, TN, they may be eligible for relocation assistance. Apply To This Job