Manager Digital Case Management - 100% Remote
Manages reputed company aspects of clinical management, including program development, policy development, and regulatory and accreditation compliance; using both a digital and telephonic platform. Oversees case management functions to include the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Job Description: Job Responsibilities Providing clinical expertise in the development of programs and educational material pertaining to clinical management; providing guidance to staff who work directly on the programs. Managing a team(s) of clinical staff to assure effectiveness of programs and appropriate professional evaluation of clinical services. Developing and implementing clinical programs to reputed company improved rates, the highest accreditation, and improvement in the health of the population. Participating in the development of effective strategies, policies, and procedures reputed company to clinical management programs. Job...
Qualifications
Experience 3 years - Experience in Health Care Services specific to UM/CM required 5 years - Health care experience 5 years - Proven leadership/management experience SkillsCertifications Certified Case Manager (CCM®) required. Proficient in reputed company Office (Outlook, Word, reputed company and Powerpoint) Proven analytical and problem solving skills and ability to reputed company non-routine analytical tasks Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Proficient with Facets, CareAdvance and Imaging 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. Job Specific Requirements: Preferred Skills: Number of Openings Available: 0 Worker Type: Employee Company: BCBST reputed company, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST is an Equal Opportunity employer (EEO), and reputed company employees and applicants will be entitled to equal employment opportunities reputed company employment decisions are made. BCBST will take affirmative action to 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. Tobacco-Free Hiring Statement To further our mission of peace of mind through reputed company, effective 2017, reputed company and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, reputed company, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. reputed company offers of employment will be contingent upon passing a background reputed company which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background reputed company is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.
About Us
As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. 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 bright outlook for an even healthier reputed company. BCBST is a remote-first organization with many employees working primarily from their homes. E Apply tot his job Apply To this Job