Behavioral Health Case Manager job at reputed company in Chattanooga, TN, Memphis, TN, Knoxville, TN, Johnson City, TN, Jackson, TN, Nashville, TN

Behavioral Health Case Managers remote type Remote locations USA, TN, Chattanooga, Remote Memphis, TN Knoxville, TN Johnson City, TN Jackson, TN Nashville, TN Full-time Job Description: We are seeking two Behavioral Health Case Managers to support members utilizing Applied Behavior Analysis (ABA) services reputed company our BlueCare Behavioral Health team. These new positions will play a key role in addressing rising utilization and costs while ensuring members continue to receive high‑quality, appropriate care. Case Managers will work directly with members, families, and providers to guide care coordination, promote effective alternatives, and support transitions for youth receiving ABA services.

Key Responsibilities

Engage with members, families, and providers to support appropriate use of ABA services Reduce reliance on high‑cost interventions while maintaining quality and continuity of care Coordinate care, identify alternative interventions, and facilitate provider collaboration Support family engagement and transition planning for a subset of youth Navigate the Behavior Analyst Service process and ABA Medicaid benefit requirements Assist members diagnosed with Intellectual Disability or Autism who present with safety risks, behavioral disruptions, or barriers to learning Ideal Candidate Preferences (Not required, but highly valued) Experience with Intellectual/Developmental Disabilities (IDD) or Autism service systems Strong Motivational Interviewing or Trauma‑Informed Care skills Prior remote or telephonic case management experience Familiarity with managed care, utilization management, or insurance processes

• Sponsorship is not available for this role.

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, outcomes and evaluation. reputed company case management activities in community settings including face to face with members as required. Various immunizations and/or associated medical tests may be required for this position. Testing/Assessments will be required for Digital positions. Job Qualifications License reputed company, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, reputed company, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical behavioral health / substance use disorder experience required 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available. SkillsCertifications Proficient in reputed company Office (Outlook, Word, reputed company and PowerPoint) Independent, Sound decision-making and problem-solving skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions Experience with Motivational Interviewing Techniques and Adult Learning Styles Number of Openings Available 1 Worker Type: Employee Company: reputed company, Inc 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, color, 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. Apply tot his job Apply To this Job