AmplifyHealth Case Manager
Company: BlueCross BlueShield of Tennessee
Location: Knoxville
Posted on: May 3, 2024
|
|
Job Description:
Manages member care and progress for cases with multiple levels
of risk.
Job Description:
Job Responsibilities
Supporting utilization management functions for more complex 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 complex 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
via digital channels and offer technical support; typing and
grammar skills assessment is required for these positions, in
addition to standard Windows 7 Testing
Must have or be able to be licensed in multiple states if
required
Effective 7/22/13: This Position requires an 18 month commitment
before posting for other internal positions.
Adherence to the Corporate Tuberculosis Testing Policy 025.HR.078
and Tuberculosis Procedure 025.HR.078.A (if applicable)
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 - Varied clinical experience in a health care management
environment required
5 years - Health care experience
Various immunizations and/or associated medical tests may be
required for this position.
Skills\Certifications
Currently has a Certified Case Manager (CCM) credential or must
obtain certification within 2 years of hire.
Proficient in Microsoft Office (Outlook, Word, Excel and
PowerPoint)
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
Job Specific Requirements:
Employees who are required to operate either a BCBST-owned vehicle
or a personal or rental vehicle for company business on a routine
basis* 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 basis" is defined as
daily, weekly or at regularly schedule times.
Preferred Skills:
Number of Openings Available:
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Remote-First Statement:
BCBST is a remote-first organization with many employees working
primarily from their homes. Each position within 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 New York. Applicants
living in these states may move to an approved state prior to
starting a position with BCBST at their own expense. If the
applicant moves to Chattanooga, TN, they may be eligible for
relocation benefits.
Applying for this job indicates your acknowledgement and
understanding of the following statements:
BCBST is an Equal Opportunity employer (EEO), and all employees and
applicants will be entitled to equal employment opportunities when
employment decisions are made. BCBST will take affirmative action
to recruit, hire, train and promote individuals in all job
classifications without regard to race, religion, color, age, sex,
national origin, 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
found by reviewing the following page:
BCBST's EEO Policies/Notices
(https://www.bcbst.com/docs/equal-employment-opportunity.pdf)
BlueCross BlueShield of Tennessee is not accepting unsolicited
assistance from search firms for this employment opportunity. All
resumes submitted by search firms to any employee at BlueCross
BlueShield of Tennessee via-email, the Internet or any other method
without a valid, written Direct Placement Agreement in place for
this position from BlueCross BlueShield of Tennessee HR/Talent
Acquisition will not be considered. No fee will be paid in the
event the applicant is hired by BlueCross BlueShield of Tennessee
as a result of the referral or through other means.
Tobacco-Free Hiring Statement
To further our mission of peace of mind through better health,
effective 2017, BlueCross BlueShield of Tennessee 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, patch, 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.
All offers of employment will be contingent upon passing a
background check which includes an illegal drug and
tobacco/nicotine test. An individual whose post offer screening
result is positive for illegal drugs or tobacco/nicotineand/or
whose background check 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.
Keywords: BlueCross BlueShield of Tennessee, Asheville , AmplifyHealth Case Manager, Executive , Knoxville, North Carolina
Click
here to apply!
|