CHOICES Care Coordinator
BlueCross BlueShield of Tennessee- Case Management
- Full-time
- License: Tennessee, Compact
- 2+ years
- Field-based (US)
At a glance
Field-based RN care coordination for BlueCross BlueShield of Tennessee's CHOICES program in Shelby County. Conducts face-to-face in-home member assessments and authorizes home and community-based services. Requires an active Tennessee RN license (or compact-state license) and 2 years of clinical experience.
Job description
As a Care Coordinator, you will make a lasting impact on members’ lives by ensuring their safety at home or within a community setting . In this role, you’ll travel to member’s homes for visits, while managing various demands and requests from both internal and external stakeholders. We’re seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities.
You will be a great match for this role if you have
• 3 years of experience in a clinical setting • Registered nurse with an 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 Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following TN county: Shelby County • Available for an 8:00am – 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year.
Job Responsibilities
- Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living.
- Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member.
- Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations.
- Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met.
- Valid Driver's License.
- TB Skin Test (applies to coordinators that work in the field).
- Position requires 24 months in role before eligible to post 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
Experience
- 2 years - Clinical experience required
Skills\Certifications
- PC Skills required (Basic Microsoft Office and E-Mail)
- Effective time management skills
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
License
- Registered nurse with an 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 Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW).
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.
Number of Openings Available
1
Worker Type
Employee
Company
VSHP Volunteer State Health Plan, Inc
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
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