Note: The job is a remote job and is open to candidates in USA. BlueCross BlueShield of Tennessee is looking for a Supervisor of Case Management to join their Total Health Management team. This role involves coaching and developing a team of care managers, overseeing daily workflows, and ensuring quality delivery of case management programs focused on maternal and neonatal outcomes.
Responsibilities
- Monitoring productivity and performance based on departmental goals; identifying areas for quality improvement and ensuring updated processes are implemented
- Supervises, hires, motivates, and evaluates staff to assure effectiveness of programs and appropriate professional evaluation of clinical services
- Coordinates clinical interface with internal/external clients to ensure delivery of quality services
- Facilitates the implementation of programs, policies, and procedures related to clinical management programs
- Performing quality audits and review audit findings, providing feedback and training to staff as needed regarding clinical or technical information
- 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
- Various immunizations and/or associated medical tests may be required for this position
Skills
- 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
- 5 years - Experience in the healthcare industry or in an operations type environment required
- 3 years - Clinical experience required
- 2 years - Experience in a leadership/management role required
- 1 year - Utilization Management, or Case Management experience required
- For Select Community & Katie Beckett: 2 years experience in IDD is required
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability
- 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
Company Overview
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. It was founded in 1945, and is headquartered in Chattanooga, Tennessee, USA, with a workforce of 5001-10000 employees. Its website is http://www.bcbst.com.
