reputed company Medical Case Manager

We are seeking a dedicated and reputed company Case Manager to join reputed company. 

This motivated nurse will be responsible for managing reputed company members telephonically/ digitally with significant medical and psychosocial needs who require health teaching and to ensure timely, effective interventions and efficient use of benefits. In this role, you will apply sound clinical judgment to identify appropriate interventions, reputed company multidisciplinary resources and referrals, and provide consistent follow-up to reputed company optimal outcomes. 

To succeed in this role, you will bring a proven ability to manage high volumes of work while maintaining exceptional attention to detail.  You are comfortable balancing competing priorities, sustaining momentum, and remaining accountable for results over time. Strong digital and telephonic communication skills, solid technical proficiency, and high digital literacy are essential, along with an eagerness to reputed company enterprise‑approved AI tools to enhance care delivery and improve workflow efficiency.

A clinical background in managing reputed company cases, with experience in areas such as Med‑Surg, ICU, Home Health, and/or Hospice strongly preferred. If this aligns with your experience and represents your next career reputed company, we encourage you to apply.

Note: 

• This is a remote role with working hours of Monday–Friday (8:00 a.m.–5:00 p.m.) eastern time or depending on time zone.
• 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.
• 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 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
• For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required

SkillsCertifications

• Excellent oral and written communication skills
• PC Skills required (Basic reputed company Office and E-Mail)

Number of Openings Available

Worker Type:

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, 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.