FEP Case Manager

BlueCross BlueShield of Tennessee (BCBST) is seeking a skilled and compassionate Registered Nurse with a strong background in case management to join our fast‑paced, high‑performing team. This role focuses on supporting members with acute care needs and chronic health conditions, ensuring they receive timely, coordinated, and effective care. Preferred candidates will bring prior experience in health insurance and telephonic member engagement, along with FEP experience as a valuable plus, enabling them to confidently navigate complex member situations while building strong, supportive connections over the phone.Our ideal candidate is energized by engaging and supporting members through empathetic listening, clear communication, and proactive problem‑solving. Whether guiding someone through a challenging situation or offering a reassuring voice, our team members thrive on making meaningful connections and delivering exceptional service. A Certified Case Manager (CCM) credential is highly preferred, and successful candidates will be adaptable, proactive, and experienced in managing complex patient needs.This is an opportunity to make a meaningful impact every day by helping individuals lead healthier, more fulfilling lives through comprehensive care management.Note: RN Case Managers must be available for occasional late‑shift rotation (9 am–6 pm Central / 10 am–7 pm Eastern).Although we are based in Chattanooga, TN, this is a fully remote role.Job ResponsibilitiesSupporting 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 benefitsPerforming 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.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 QualificationsLicenseRegistered 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.Experience3 years - Clinical experience required5 years - Experience in the health care industryFor Select Community & Katie Beckett: 2 years experience in IDD for Select Community is requiredSkillsCertificationsExcellent oral and written communication skillsPC Skills required (Basic Microsoft Office and E-Mail)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 Available1Worker Type:EmployeeCompany:BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:BCBST will 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/NoticesBlueCross 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.

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